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Home My WebLink About0114 SEVENTH AVENUE (HYANNIS) - Health 114 Seventh Avenue Hyannis, A 245 060 l 0 o TOWN OF BARNSTABLE LOCATION SEWAGE # - VILLAGE I af2t ASSESSOR'S MAP & LOT IYS- UP INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY f ®� LEACHING FACILITY:(type) ( y X a) ize) NO. OF BEDROOMS,_ _ PRIVATE WELL 04jUBLIC WATE BUILDER OR OWNER � ,✓vrC ��D n�,,,�„/ DATE PERMIT ISSUED: 9,/ DATE COMPLIANCE ISSUED: - 7 VARIANCE GRANTED: Yes No -qm Op � 1 V C b � z art` a T� z � v. t� CS 0 W SN 1 � APPROVCD THE COMMONWEALTH OF MASSACHUSETTS 8arras38Wa ~ "tBOARD OF HEALTH �� --- 3a `- GWN OF BARNSTABLE Appliration for Dhip�iitt1 Workii Tom4rnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Ll -- _ ............................................................ ----...---......----•-----•••-----•--•-------••---••--•-•-•-••------------•---.........----------- Location-Address or Lot No. ---------- ------ \� {7� p 1 Owner y`�7 Address p C I y W LJy `CtC�-�J�........_��l• �}'.I..J[_rI t�",.. ......... �.Xs: .._...�_t_�_v�.i....y.'��JJC!11. ....................... I-1 •___.....--.•_-•-........_-- ._._._ __.___ 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 ( ) Ga Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity..l,�..gallons Length._')_b....... Width.- !.A__._.-..Diameter---------------- Depth....4.......... 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........... ............................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water.................-...... (s, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water......---....--......... -----------------------------------••--...------•----------•-•-....----------........--•----••--•............................................................ . 0 Description of Soil --•------1''f` . _J_`?.tl....... •--•--. �` k"` `� S iJ x W UNature 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 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 by the board of health. Signed ......... ....................................------------- 1a 3� ......----- Da e Cy Application Approved By .....------. -------- . .... . ..... .......................J�.:�/(.///./........................................ --�-�� -� ----- A �!NG%/fir// / Date pplication Disapproved for the following reasons: - ----------------------------................................................................-- ------------------------------ ................................................ ................................... ... ....................... .. ............................................. ... ................................ ........................ ... .....:... Permit No. ----?/.....:?2'��G!..�...................... Issued .---- -/�„ J��' V" Date ----- No..9 ", , Fss.....� .:... THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiipniial Works Tnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............................... ............................................................................... •-•--•--::._.:... Location-Address or Lot No. _ _ / .. . ./ ............................................ ......L .:!_..... .. . ... Owner ........ .:.:y...e ;:::.. ....� ..........>.-------... _ ................... ... .... - •~ t ;. Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........3................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.......?................... Showers Cafeteria ( ) Otherfixtures ......................................................-----...-----------------------------..._.........-----.......------.._........_.........------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity.l, =__•_gallons Length-,.!........... Width_e.c_n_:__.__._ Diameter________________ Depth....L........... W 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........................................ W 4 Test Pit No. I................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 ------------------------- O Description of Soil•-_:... - — 1 c :--••-:n_.._�_.._S-_,_._,� ty::........... ...... ........................................... U ---------------------------••----._._...-----------.......•--._..._....-----------....------......_..._•....---•-----------.._._.......-•----.._.....------...•..._..............•...---•--....•........ W ----------------------------------------------------------------------------------------------------------•-----------------------------------------------------------._...._.._----------------•----- 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 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 by the board of health. - Signed ....... ..- ................................................. �... `3. .......... to . Application Approved B � .. Date Application Disapproved for the following reasons- --------------...................................................................................... ............................. - --------------------------N----:----....................... ...............----- • .....................I....... .................. .............. .........._ Permit NO. / G J ;. Issued ........./ — o .............................................................. z- ...---------- --- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ge1r#tft.cate of C11.0rapli ure N THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( , ) J .:. ... . '-uz-J--:a.................... Installeri l -t......................................................... at ! ---- �.f...:..:....� ............t r E ............ .v�\..., ... .....•.. �I- ,4.�-�-r-5.........f�Ju---...------........------.............................. has been installed in accordance with the provisions O TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .,��, .. '.....mot J �../. dated ....... .".. 1-�.. � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. , DATE......�.h. 3 ,,�r `�- {,� ----------------- Inspector ..................-- �~� j.................................................. ........ � t t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......................... FEE........................ �i��r�a��t1 nrk� �nn�trnrtilan. rrntit Permission is hereby granted........ _7 � � i• - �-"- %•.__.�:5 L'v_��Lt•C•V,.J -•-•--_•__ l.i•:i•�\L_U,�................................................ to Construct ( ) or Repair (.�) an Individual Sewage Disposal System atNo...+!__ .:. ! d ........... .:. ' -----dry- �----------=-----•..._..------------._._.....------..........�... ... w .. I Stree j as shown on the application for Disposal Works Construction Permit No.....`.: f Dated.....�__'L,��`..I ...�.•- .. DATE. I ............................................... Board of Health FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS r 'h I I �� S. T 73 � I m I 1 TT-Fj AVEMIU MORTGAGE INSPEC11ON PLAN U WIT ! r A �' I(�.J(- ram -� . t )CA1ED tN AND ITS T!". f1lfWnLM. — ----- MASSACHUSEM 1 C><riTiF'r MAT i ilA'I'E CiiiulruFTj TILE r'tu"1/IST'S lvt0 'li!t; t)UIl11it�J;{ F�".0'htt ltiU y601tF�11 1Q�T11E �Ti� /JAEJIU11t:�ia I.«.(f-T, 1;T, ), h . , j YFJti� '�'MACh Qtr1Y CP Jam .I-.{ 11^ .0 Yr91F114 (.V IS1111JUM). 1 MIT111M CERTIFY THAT 1-H15 PR(XIFATY IS } Ic r I (OGATFD RI ME t:5TACUSIED ILOCO DLU) IV,two AfTK COMMUNITY PANEL NO.;?-v'>>0C`i 8c)c7K DWQNATIOt( Cf TIrE RFCortT)S I, 64ti)F OHLY 51))1;YfA1CiIT Tl) TIiF. RECxfi10Ep DATE if 11tL LAInT DEW MD DOV5 NOT tld(x.11pE `IEnIF"Y11)() TI1E ikW-PtAOY X 111t UT:tl) Dc-,X(up'nD11 FADE PREMOUS TU ITL DATE CIF W.00(ia, GMT. ND, TMS Co4tf NIY tS 110( ttETot)�f31E FL{t AO'( 11400411JJM5 l AM' 5L1'f)bv:Kf[TIT TD 1NE. REODRDED DATE OF TA IATrST DEM OF RECXADO. NttF7lE 7t Rt.1LM'OS ARE SIIOMI LESS T11.NJ ( ;r' rcy,?T tj,%� 11Tf! prt.()r tl-( Utt> Ir I5 1u��lsrzi PLAN I1K. �l�_r•AUE z THAT A uc PFtEq`,E suRvt { of M{/Ut Tv �tJLlrl' 111C; MIEMAJ110AENTS. pal + aATiD Iv .N Q'LE: T1113 CCITTir1CATltti IS BASFh;Cxl Ttl Or 0,11015, NtU D(As �'C� a NOT TTY7ESE?IT A FR(7PE)tTY.SI)fi .• �1 � f: r' / Io 4 T)-il5 CE:RiinCAT1()+I' Tr. t;�.17+rOf! • !Qf+' 'AC L I vI-w,)Sf:S Ut•al_Y. SCALL' I'+- � ----- --tYl�+l-- r _.----- OFFSEl SIIoMll A.R.E., ��SED FOR T)1 AIRA iTr LJ•iI O ^�'ib,"ER iY LILIES BRADFORD y ENGINEERING CO, TOWN OF BARNSTABLE LOCATION I I c� weivt.YJn `Q. SEWAGE # _ g VILLAGE, ASSESSOR'S MAP & LOT IYS-U-6 INSTALLER'S NAME & PHONE NO. SEPTIC 'SANK CAPACITY LEACHING FACILITY:(type) ��ize) NO. OF BEDROOMS ^`PRIVATE WELL OR UBLIC WATE BUILDER OR OWNER �Q .✓si1 �,�,� _ DATE PERMIT ISSUED: 9/ DATE COMPLIANCE ISSUED: - 7 VARIANCE GRANTED: Yes No i 1.rvisn��car�yi Q j j Q 4 (2 �✓ � b h TIC. b i J CA 1 ot 701 -VIO ------ A , -----W. 31 q t ►,4� _ too 1TT 4J -s t o s= r i