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HomeMy WebLinkAbout0465 SEA STREET - Health yG S Sea 54 N ru�is l TOWN OF BARNSTABLE 1 LOCATION ` VILLAGE ylf7/S _ ASSESSOR'S �cnG • r t � .rs;__•�. INSTALLER'S NAME PHONE NO. i f ,&C SEPTIC TANK CAPACITY 1 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED.: `- I G --j� DATE COMPLIANCE ISSUED: 7 1;L-r-l—Ir VARIANCE GRANTED: Yes No L/ r ? aw F A I I: p ASSESSORS MAP NO: jo J PARCEL N0: No...... _....... Fss.....$.... .Q.�.40 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..................Town.............OF......Barnstable - .................................................... ApV iratiou for Disposal Works Tonstrurtion tIrrutit Application is hereby made for a Permit to Construct ( ) or Repair �XXX an Individual Sewage Disposal System at: Sea Street Beach Hyannis ............ - .. .._.......... -•-• ... .............. • ..._....... ----------- .... Location-Address or Lot No. TownO. -- - ...------.......---•--•----••.......---•-.... ..........--................................._._.................................................. Owner Address ..._P:Macomber.....•--- -------------•••--•--•-••......-----...•--.•••-- Installer Address UType of Building Size Lot-------------------- -----Sq. feet Dwelling—No. of Bedrooms--------- ..............................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Buildin yp g ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) dOther 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-__---_______-___.____-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•---------•--------------•---•---------••---••............................................................................................ .---------- ••••-- 0 Description of Soil....................................................................................................................................................................... W •--•••--•------•----------------•--•---•------•----------•----------------.Sand W UNature of Repairs or Alterations—Answer when applicable................................................................................................ - -----------------------------------------------------------------•--------------------•••-•-•-------------..•--10..0-G a 11 on---Leach Pit . - - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1-T s.w. p 5 of the State Sanitary Code—The undersigned furtl er agrees not to place the system in operation until a Certificate of Compliance has een issuej by e bo rd of hea 1. Signe . '--------------- ....2./ -l.8ii.. a Application Approved By....... ----- _. -- •-•--------- Date Application Disapproved for the following reasons:-------•-----------•----•--------------••-•-•-----------------------------•-----------...--•--•------....._..... •--............................................................. •---------------------------•---•---------------------•--------------- -------------------------------•---------------------•-------- Permit No----9911--------------------------- Issued------------------------•---------......._Dau------ Date No.._ E Fps... ....2-Q_LQQ_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town..............OF....Barnstable.. ------------------............................... Appliratinn for Uispnia1 Workii Cnnntrnrtuan Urrutit Application is hereby made for a Permit to Construct ( ) or Repair)XX an Individual Sewage Disposal System at: Sea Street Beach Hyannis ................_......-........................................................................ ......----------------._..__....-----...-•-----------•--.....---•----..._...--•--•-•-••------•---• Loc t:on-Address or Lot No. Town Of Barnstable ---•-•----------------. .............................. --•-••--------------._.....---•--=----........----------•-•--•--------•--•----•-•••-•------------- Owner Address W J.P.Maeomber Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( ) _______________ No. of ersons__.______._________.________ Showers — Cafeteria p,,, Other—Type of Building _____________ p ( ) ( ) a' Other fixtures __________________________________ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter__-__-__________ Depth................ Disposal Trench—NTo_ ____________________ 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........................................ .4 a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 --••---•--------------------••-••---••-•-...-••--•---------..._...-•----•-----•-------•-•--••--••-•-......................................................... 0 Description of Soil......................................................................................................................................................................... .x Sand U -------•••••-----••-•••-•-•--•-••---•-----••---•--•---•-••••-•••-••-----•---•--•••••-------••----•-•-•-----------••-----•--••-...._-•-•----•-•-•••-._...•-••----••----------------------•••---•---••----. W UNature of Repairs or Alterations—Answer when applicable_________ _________________________________ _ __ __. It�00-Gallon Leach fait. __ ________________ ...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of"TTr" j of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d fby theqb 'ard of lie I'th.n '=L ,� 1`,_...�'y_. ?'. r _----•--------•- .f -- D to Application Approved B Date Application Disapproved for the following reasons:----•----•---•..-•------------------•---•-------•------•----------•----------------------------------......._._. ..-•-•---••----------------------•-----•---------------------•---•-----•----------........_..__.......---•-------------•---------•-- -------•-----------------------------------------........... e Permit No._�,?.Q E-...(7 1.--•------------------------- Issued...........................................Dat - -----•---- Date THE COMMONWEALTH OF WASSACHUSETTS BOARD OF HEALTH Town Barnstable .................................OF..................................................................................... Trrt fires laf Tuntpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired " } by... -J. -....aco er ...................••-----•---•------•---._...............------------•-----------•--- Sea Street Beach Hyannis --•- -• Installer at. ........ -----------•- ---------- -• ......--.._•.. has been installed in accordance with the provisions of L' r � ' The State Sanitary Code aescrrm)ed • the application for Disposal Works Construction Permit No... •- ________________ dated-...,C p�_�p/.��______ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... _..oL._Q:::..K$............................... Inspector.............. .................................................. 8 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable )$ ....................... .................OF................................._.......---•--......__........_...... 20.00 NO l.._ FEE........................ Displasa1 Worku Glaimitratiott �rxni� J.P.Macomber Permissionis hereby granted............................................................................................................................................. to Constrtut or Re�ai� a Individual Sewage Disposal System Sea S�tree a hiyannas atNO --•-•----._...•--------------•••••. Street as shown on the application for Disposal Works ConstructionVit N �_7�__ Da d_____.___ __��_._ _ ` 6 •-•----••--------•-- -.-_--- Board of Health DATE-------- •�w _-- -•-•---••--- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS