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Home My WebLink About0040 SIXTH AVENUE (HYANNIS) - Health 40 Sixth Ave Hyannis A= 246-1.36 i O � ci iJ r� � AsBuilt Page 1 of 1 G, TOWN OF BARNSTABLE LOCATION Z/O S.xT/7 ALe. SEWAGE # 13-/8s- VILLAGE ASSESSOR'S MAP & LOT -2 Y INSTALLER'S NAME PHONE NO. C7o2l�� jU,f, �•�- �c?-Sb y� SEPTIC TANK CAPACITY 000Gel LEACHING FACILITY:(type) (size)3 ' 7A r2d, NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC ATER BUILDER OR OWNER DATE PERMIT ISSUED: 02 3 DATE COMPLIANCE ISSUED VARIANCE GRANTED: Yes No ' C s.7g�:of X17 t. -'Ti��.-ay C_ http://issgl2/intranet/propdata/prebuilt.aspx?mappar=246136&seq=1 9/29/2014 'D,y,� FRic THE COMMONWEALTH OF MASSACHUSETTS APPttO`,,'E; BOARD OF HEALTH Barnstable Conservation Department TOWN OF BARNSTABLE �- �� ? S'-3 --�Applirativu for Ui�ipwial Work, oate C�a��i� r �r#i 9�' rruti Application is hereby made for a Permit to Construct ( ) or Repair (//) an Individual Sewage Disposal System at: ..........................q.Q.. .............................. .................................................................................................. -- Location-Address or Lot No. n o�ccr Address W ••....--•-----••--..C�c1Z��-c G �c e2� .....- C�'. � .�; , Installer Address UType of Building, Size Lot............................Sq. feet ., Dwelling I No. of Bedrooms-----3-----------------------------------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. 3 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........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................--. p.' ................................•--------•-•----•-------•-•-----•--•-............._......---••-••---......................................................... 0 Description of Soil..................................................................................................................................------.............................. W V .....------•----•---------•-------•...............•-•----------•----•-------------•----•---•••. -----------------------------------------••-----•-------------------.........................•--•-----•- -------------------------- ------------------------------------------------------------------------------------------- --------- ff V Nature of Repairs or Alterations—Answer when applicable... '/!f�. ��2-----—.-----------�.QQ.�..cA�. l ...... ••----------------------------------------•---- •-•---------------------------------.................---------------------- -.3..:T ..G f...---- 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 Compiia e has bee sued by t oard of health. Signed �lr..j...... ....... ........ .................................. � �:/ J Dace Application Approved By ..................... ... � I?are Application Disapproved for the following reasons: ...................................... . ............................................................................................ .................... ............ . . ...................... .. ....... ................................--...... ................. ...... ........................................ 9 I _. Dare PermitNo. ...............f. 3---`_16-5......A............. Issued ..................................... ......--. ............... Dare -�»�,..;�....,�.-x.....-�.�:�.I^"' `.......-.i—.'s.--,...�-�..--..:.�},. }vww� a,,,. �--..,......,,n,w,�.�it..._.e ti,..y,•_„u r' �.,y. -�i . -.. . . -r - ,.. •• v:. No.. Res... D.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE i�� - s3 Aplifiration for Ubip<t ial Works Tnn,s#rnr#ton lirrmi# Application is hereby made for a Permit to Construct ( ) or Repair (k- ) an Individual Sewage Disposal System at: ...................................................�O S x�i ��r n v l'.......---------•--........... ........................................................ •. Location-Address or Lot No. U..,.� 1. -.fir ------------------------------------ --•-------'•--------••••------------•-•-•----••-••--------•-•-••--•••••---••-•------........--•--- --- O 6/"_Owner / (/,1 •--•--•--._...Address---•-•..............•-..-......_........... W QCl=l�r( ('�12 h(c''2fj 1. .. VG2 l:S 1^ ./........................... Installer Address 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. WSeptic Tank—Liquid capacity....._.___gallons Length________________ Width---------------- Diameter................ Depth................ xDisposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. �. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Results Performed by.......................................................................... Date. 0.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------------------------•----------......"• .........•-...... .•------------•-•.....-•••-.................. .•.... 0 Description of Soil........................................................................................................................................................................ W V .................................-•-----•-•.........•-•-•-----•-•••----•------•----•---••••-------••-•-•-•••----------••-•----•---•--•-•-•--••----•----••---•--•----------•-•--•-••-••................. U Nature of Repairs or Alterations—Answer when applicable._./�C1�.f��T?2 . `..............�.Q�. ..c,?1.��?-�...... -••.......................•-•------•------•---•-•-------•--•-------•---------------......--------- -l: :/T t�rJ•.••--• 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 i sued by�oard of health. -�� ''`................................................. T� Application Approved By .................... J ....`1Z.- �— Dare Application Disapproved for the following reasons: .. ............... ' . ' . ............................ .................. ............... ........................ ' ............................ ................ ........................................'.................................... .. ........................................ yy�� Dare Permit No. .............../.:..3..'...1. .5........a................ Issued ---'-"-.........................-' ...... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�>ex#tfirate of C�omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by C)CCA i Gcoc-pl— 6'Urc0,, D.,_,0V� --- - ........ ........ ................... ..................... ........... ........................ at .........yQ..�c. .�.�.... R .. - ..........._..........................._.... ' ........_._._................ - .. .......... .................... ... ................ 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. ........ ...5.-A dated _......_........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... '.............1........_Cj�... ..'..9, ..._........... _... Inspector ............ ..r_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....3'.1.�.5.... FEE.�.�) �i��,a��t1 nr�� C�un�#r�tr#ilan �.ernti# Permission is hereby granted._..CO ...............I........................................................................................................... to Construct ('' 11 or Repair V/ an Individual Sew�a`ge Disposal System at No... 7- ..:_. �, 112-e.. ....... trcct ti•.................. ....... as shown on the application for Disposal Works Construction Permit NNo..&jq.�.... Dated........................................... T .............................................................. p. Board of Health DATE----------------- -/ -----------•---------------•---- FORM 36508 HOODS&WARREN.INC..PUBLISHERS • ro � TOWN OF BARNSTABLE LOCATION //0 S�x�� Ave. SEWAGE # VILLAGE ASSESSOR'S MAP & LOT I Vj,, /36 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /2go6&I LEACHING FACILITY:(type) (size)3 = 7x r-2A NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER k32 w h DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� m CJ � n a J� a 1