HomeMy WebLinkAbout0465 SEA STREET - Health yG S Sea 54 N
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TOWN OF BARNSTABLE
1
LOCATION `
VILLAGE ylf7/S _ ASSESSOR'S
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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/
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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