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HomeMy WebLinkAbout0031 PRAM ROAD - Health 31 Pram Rd 268-041 Hyannis oo 0 TOWN OF BARNSTABLE LOCATION ,3/ 7%1 119 n I d SEWAGE VILLAGE-44/ganl g 0-p/2,L . ASSESSOR'S MAP & LOT ^' INSTALLER'S NAME & PHONE NO. =kmigco ber -5Oh � c-- oe 'r SEPTIC TANK CAPACITY 1000 �� LEACHING FACILITY:(type) ?c (size) ® � NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 0 BAR OR OWNER J!0Vd fi e �! DATE PERMIT ISSUED: - � — DATE COMPLIANCE ISSUED: �', �� VARIANCE GRANTED: Yes No f f � � -� � �Q` .�. � � U �� ��� v �� �^ � \� ��\`� �� �� i (� 4 1. �'+1 No.. "............ �2 Fxs..�t....3.A....QQ.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratiun for Uiipuuul Wor1w Tomitrurtiun Urrmit Application is hereby made for a Permit to Construct ( ) or Repair 0(X) an Individual Sewage Disposal System at: _31„_Pram„Road West Hyannisport .................................................................................................. Location-Address or Lot No. Sandra Lin ......................_.......................................................................... ---------------------------------------------------------------------------..........---...--.--- Owner Address W J.P.Macomber Jr. Installer Address Type of Building Size Lot............................Sq. feet Dwellinxxx No. of Bedrooms---------- 4-----------------_--_--.-...Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ---------------_----- .... No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures -d :... ._ . Design Flow............................................gallons per person per day. Total daily flow.-----.-..-_-----------..__--.___.......... W - gallons. WSeptic Tank—Liquid:capacity-.-....._-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..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) 1 0-4 Percolation Test Results Performed by-------- ----------------------------------------------------------------. Date.....--------------------------------... 0.1 Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ------------------------------------------------------------------------------------------------------------------------------------------------------------- 0 Description of Soil........................................................................................................................................................................ v ...........:-.S.and...&...Grauel................................................................. .......................... ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable.Dmit...cesspc al-s_---In-s-ta-1-1----1-1-©iN...-----• ..............gallon...tank,..1--distributioxt...box...an-d---1.-1-0-0-0---gal.1on----1 each---p t------------------- 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 Complian e has be rued b,�the bo rd of health. Signe .:.... .. =�.' ---------------- �...t---------------- 3 3.�.�9.5......:.... m ce Application.Approved By .. _...✓--.....- ... .............................. /"' . ----------........ Dace Application Disapproved for the following reasons: ............................................. . ----------.............. ...-_--- ---------- ------------------.------------------ - ------.. �_ Permit No. c �1 ✓-------------------- Issued -- .��- �.j-.--. ............................. Dace r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apptiratiun for Di►jpu.!5tt1 Work.5 Tunutrurtiun "antit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 31 Pram Road West Hvannispport Location-Address or Lot No. Sandra Lin ......................_.......................................................................... ......................----•--••-•---••••...---------•...-•-•---•----...-•-•••--.........-----•--- Owner Address W J.P.Macomber Jr. Installer Address Type of Building Size Lot............................Sq. feet Dwelling�XNo. of Bedrooms.......... 14-----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------• No. of persons---------------------------- Showers Cafeteria ( ) 04 Other fixtures ________________________________ W Design Flow............................................gallons per person per day. Total daily flow..........................................._gallons. WSeptic Tank—Liquid capacity------------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..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ `l1 Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................r (14 Test Pit No: 2................minutes per inch Depth of Test Pit_-.--_-__-___.__---- Depth to ground water........................ 9+ ------•-••------------------•..........-••-•-------•-------••-----•--------------•-••---•-•-............_...._.....---••....•---•-•----••--....._....--..-•-- 0 Description of Soil..................................---................................-------------------- VSam!.. i.._ E' ....-•----•--••-•--•----•----•-•...............• -•-•------------•-•-•--------•----...----••-•---•----•-------.....--------•-•-•-•---...--•-••------.. W -•------------- ---------------------•--•--•------•.. .................................................................................................................................................. UNature of Repairs or Alterations—Answer when applicable.mi-i-_..r cenr��l^ - ?� .-.?_ll.__--1_-1.00t1..•.-._-. qal)_ozl_._t�nk,-1-- :r .?�.ah�ata•can_-hc'x...and....1_:n!_(1fI_..naZl_n" 1_ rh-_.r,,.b.................... 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 bee< is ued/by the board of health. 3/30/95 Signed% ........ ....... f� _�/ —--- ce ------- Application,Approved By J '�fj� .. �- ... `� ' ?' Application Disapproved for the following reasons: - - ... - _.............................. .................................................................._....... -----, >;:_---.<..-............._......-........_...._...................-...............-.._.......................:... ---- _e—------------ Permtt � Issued ..... --- h--..------. --- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CIeztif rate of (111ompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired)(XXX) by ....... ----------------- -----------...... ----------------- ---- ----..---------..__.:--------------.-------......----..---------- 1widlr at ..-------- .1..._P-r.;.m...Ro.;.. -Evp.e f_.flit .? x.i..STnrt-- ---------------------------------.......-------------------------------------.------------------------------------ been installed in accordance with the provisions of TITI. of ,h tate Environmental Code as described the application for Disposal Works Construction Permit No. .. dated --- -� -4� THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-- � �> - ... Inspector,.'.. ....,.... /��^ ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE #0•o No......................... FEE...$..AR......... Rupniial Works Tnnutrurtion "rrntit $ 30.00 Permission is hereby granted......J.P—M.acomber...Jr--.......................................................................................... to Construct ( ) or RepairX.(XX)i an Individual Sewage Disposal System atNo.... 1....>?. art? Rn -Itae S F__It -7 nrt i -- -•--•---------------------------------------------------------------------------------------••-•--..---- SNres rA/^ � --�'-' as shown on the application for Disposal Works Construction P m,k No. DatJedd'_/,.�f..��---��-. /-: Board of Flealth DATE....... -------------- --- - ------------------•--•---- 7 FORM 36508 HOBBS A WARREN.INC..PUBLISHERS