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HomeMy WebLinkAbout0048 STRAIGHTWAY - Health 48 STRAIGHTWAY -Hyannis a M E 7 I� P r h N I 1 �. TOWN OF BARNSTABLE LOCATION SEWAGE # ' 7 2 VILLAGE . CA`3 ASSESSOR'S' MAP & LOT-1-L 1. 1 INSTALLER'S NAME, PHONE NQ.'.•r.c-�P SEPTIC TANK CAPACITY LEACHING:FACILITY:(type size). NO. OF BE PRIVATE WELL OR PUBLIC WATER' 'BUILDER OR OWNER. ' DATE.PERMIT ISSUED: DATE COMPLIANCE ISSUED: ;".� VARIANCE GRANTED: Yes No (_/ s S _.. ..,� � F-- o rt n � �o S w� ��� 1 ^�. . J (r -rC„ �� �. ��� ' ��, ._ No. 1 FIns....... ..e)....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allplirutiou for Biti-pn!ial Works Towitrur#inn 1rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( n Individual Sewage Disposal System at: j ------------------`'l e_m. ,-!p ..��.--v ` `� Location-Address Owner Address - ----------- ------ ----- -------------- Instal ter Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-_-- --------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons------------------------.... Showers ( ) — Cafeteria ( ) 04 Other fixtures w Design Flow..._.......'r�..._............................gallons per person per day. Total daily flow--------,.�..........................gallons. WSeptic Tank—Liquid capacity......_....gallons Length---------------- Width---------------- Diameter................ Depth................ x Disposal Trench—N . .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. 3 .----- Depth below inlet_.__.--_1_-Seepage Pit No.......... .......... Diameter.._.. .. . .` �" y......... 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........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a •--••-•--•----••------------•••-•......•----------•.....................• ................................................................................... 0 Description of Soil--------------------------- -----•--•-------•----------------------------------------------------...------------------------....--------------------------•-------.---•- x U ..--•••-•-••---------------•-•-------•------•-•----------•----------•--•----••-----•-------•---------------••••••••---•-----•-••------------••••••••-•--•----------•---•-•............----•--•---------- w UNature of Repairs or Alterations—Answer when applicable...... °f,��.''��.G_.-__�s�s - ? �...1 i -�...2....... r c�V� 1-----------------------------------------------------••--------------...-----------------------------------.........--••---- 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 fI ther agrees not to place the system in operation until a Certificate of Com liance ued b the board o ealth. Signed ... ............ .. �� .`..C�.��..-. ---------- ------ -- -- --------....... ......------ ...- Dace Application Approved BY - ------------------------------ ....................... ...... Dare Application Disapproved for the ollowing reasons: ...................................... .............................................. ........................... -------------------------------- ------------------- -------------.....................------------------------------------ ----..................----------....--------------------------------- --------------------------------------- Permit No- ------------/p...L/_..........._..'/--7.(? Issued Date FEs..... p ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diopoottl Works Tomitritrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (L,�/an Individual Sewage Disposal System at: ..................y - I _ c,�w �i ------------------------.._...----------•--•-•--.----..--.----•---•----...--•-----..-----.-------- Location-Address or Lot No. '�_ .`.�.......................•--- -.. _`t.. �� •...C--------••---•-•-.......-...---------....-......--- W Owner / Address P.I. .......... ..................... Installer Address Type of Building Size Lot............................Sq. feet .. Dwelling—No. of Bedrooms.-..�________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-_--•---_._-_________-..---- Showers ( ) — Cafeteria ( ) 44 Others 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----------I---------- Diameter.__- p �' t g q,�_�Z-_...._._. Depth below inlet................... Total leaching area._..........__..._s ft. z Other Distribution box ( ) Dosing tank ( ) - '-' Percolation Test Results Performed b i a Y-------------------------------------------------------------------------- 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........................ Or ----------------------- ------------------------------------------------------------- •-----------...._...----------••-•------•----------- - -----•---•--•----- 0 Description of Soil.....................-------•----•------------------------------....--------------------•---------------------------------------....----------------------••------..._.. x U ----•-•--•---•-••-••------•...•--•-•-•••----•-••-••••---------------•---------•-•-----------------•---•-•-•-•--••----•-•--•••--•----•----•--•--•--•--••-•-----------•---•--•------•-----•-•••-----...... w x -•---•---------------•- ----------------------------------------------------------------------------------------------------------------------------•------ U Nature of Repa'rs or Alterations=Answer when applicable._._- w-s�_r.�ti..�- �.... .................... __ ... -...... 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 fulrther agrees not to place the system in operation until a Certificate of Compliance issued by the board of ealth. Signed ......� ....... / .......... ..... -- --...... Cl ...............�Da[e..--...........-. Application Approved By ------------ .c ..... --- �`�'..�/.�.:....5... Date Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------------------------- ................... . ................ ........._ ..... -- ............. ..................... -. . . ............... ---------------------- e� Date Permit No. / 1-/..:...........17.�...7.Q........... Issued ........................................... .... ............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE QuIPrtifi ate of (ILIVU113 i2 nre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �) e .................... .............. t- -..... ........... - _.......................by ���- �- In.ta{ Iler� �, �. `v 1 a' � . 1 k ��/at G at ............ ... ................... ................................ - ------------- ....:.. ...... 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. --------- 1...:---V..e.— dated ------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE �?�---------- /.....-..f... ..................------------- ---------- Inspector - ...... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ...:��...r�. FEE--:��:�.......... No. � Utopoottl ork �nnoCtrtimrnprmit Permission is hereby granted---------- ....................................................................... to Construct ( ) or Repair ( ) an Individual Sewage DisposaP System atNo....................................................L.-5?�-..._ . 4reet as shown on the application for Disposal Works Construction Permit No.q.t1_y;. 7 l ��' �i Dated....... = 7:,_, u... ------'•-- - ------ Board of Health DATE ��------------ -`-"!--------------•---------------.---- FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS TOWN OF BARNSTABLE LOCATION f AO SEWAGE # ' . VILLAGE i'r��/IV 1 ASSESSOR'S MAP & LOT 12 Z— &a�&� 16-2� INSTALLER'S NAME & PHONE NO. �� s SEPTIC TANK CAPACITY /O a d LEACHING FACILITY:(type) �� (size) �d NO. OF BEDROOMS -PRIVATE W LL OR jPU LIC WATER TA�K BUILDER OR OWNER ! DATE PERMIT ISSUED: .2- DATE COMPLIANCE ISSUED: VARIANCE.GRANTED: Yes No M, -_ ___ / _ emu•-.. ✓ " p� _ /��� o � � ,� � � � , � �. �� f � a ' •_ s. No.. -••--------- Fms....... C� . p g THE COMMONWEALTH OF MASSACHUSETTS J -----� BOAR® OF HEALTH l ovvv ........... ..... ....................O F......... .............---------------------.............................. Appliration for Disposal Varks Tonstrnrtiun *rmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r •--.-.1# Is HT.4:4 �t!!wf.L..................... ........6!!=�AM.�- ............................................................................................ /�) Lo/cation-Address or Lot No. +���C=..^"7'.V Qe:. ............................................ .. .. caYY.K:�'"�� ._......... _ .11CAII. i............... .------. ...... .aA Owner •............................Address Installer Address Type of Building Size Lot.../Y,7A..__..Sq. feet v Dwelling I-No. of Bedrooms.......,...._............................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type,of Building ............................ No. of persons................... ......... Showers ( ) — Cafeteria ( ) P4 Other fixtures ----------••••• -------•------------------------- - W Design Flow............. .......................gallons per person per day. Total daily flow........3.3 c1__......................gallons. WSeptic Tank 1- Liquid capacity.PoQ?..gallons Length---------------- Width---------------- Diameter.-_-_.-------- Depth................ xDisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... Diameter....... ........ Depth below inlet...... ......... Total leaching area4g..d.V.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ' Percolation Test Results Performed nOvia.. .4. Date....61__V1 V............ Pit � mPerch Depth o P... Depth to ground water.----------------------- fi, Test Pit No. 2.";:......minutes per inch Depth of Test Pit.ZO'. _.... Depth to ground water---9-.; ....... ------------------------------------------ •--•------------------..... ---------------------------•---------------- ------------------------ ODescription of Soil........................................................................................................................................................................ x V .........•••••••••-•-----•••••-•-••-•-••--•-•--•----•-•--•-•••••-••••-•-••••---••••••-----------•--•.....•-•-•••••••-••- --••-•-••------•....- ..... .................................................. W U Nature o.U,,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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued by the rd of health. Ied,/iU1,Wr04t�_.... -• --•-------------------------------•----- `57 C S......--•- Application Approved BY `-'.....=•...` ................. Date Application Disapproved for the following reasons::----••-------••---------------•------------------------------------------------•----------•--•-•......---....._ --•-•-•---•-•-------•------•-•---•-----------------------•--•-------------•------------•---•--------•----...-•-----------•-------•--------------------------------------------.......................... Date PermitNo.......... .. - - Issued_....................................................... Date --------------------------� .� Z 7/ -? � t ,z :� n r 3�, No ... FE$... a.... 0" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF.,� HEALTH f 7 / ;ry 77l A) .......... OF........../: ...................................••-----•------.............------... ppliration for Disposal Works TO'n'Strnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:' ... t . i ��.�....-�_.a y........._..t /l .F.��.r. _ -"..'7----•---�� -------------------------------------------------------------- ----rotation-Address t No Owner Address a == .•....... -------------------- --------------------------------------- -•....--•--•-•---•--......_...-•-••--•_.... Installer Address Type-of Building Size Lot../.�5_c3 v........Sq. feet U Dwelling /No. of Bedrooms.........3................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons____________________________ Showers I W YP g ---------------------------- -------P--- ( ) — Cafeteria ( ) Otherfixtures ---------------•----•-••............--•-- -•--•••--••••--------••----•-•......-•-•••••......--•--•--•--••. ---•-•-••-- ._..._..gallons per person per day. Total daily flow____..+33 U...........................gallons. w Design Flow............. g P P P Y• Y 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......6a.......... Depth below inlet...._...._.... Total leaching area._s_2 a Y.._.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed _____.._______________________ Date_ , �i/, S'f`._...._.______.. Test Pit No. 1= ........minutes per inch Depth of Test Pit----/./______.____ Depth to ground water........................ r34 Test Pit No. 2__':'_eZ........minutes per inch' Depth of Test Pit... ..... Depth to ground water...9 S ..._....... P� ....................-------------------------•------------•---------.......-------.................._........-•----------------.......-------.._.......•... Descriptionof Soil ...........................................................--------------=-----•-----••----•--- x c., ----••----•----•-------•--••----••--•••--•-••-----••-••••-•••-••••••••--•-•-•--•••-•.........---•••.._...-••-••••-•••---._...---•--••••••••--•---•••-••-•-----••••••---•-•-••••--•----•-•-•............. w VNature 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 TITIE 5 of the State Sanitary 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. Ted. ................................... +11, Application Approved BY -- -- -------------------dM-------___ S Date Application Disapproved for the following reasons---------------------•------------------•---------------------------------------------------------.....••-_._... Date Permit No...............4' ? - Issued. ? Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �...(rLN.IJ..........:OF......... :�--.....:.. .�V ................................................ Tnrtifirttfr of TompliFana THIS S TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY------------- ---•--- -------------------------------------------------------1 � Installer at - C Ya /�-�'+' ya-�-'has been installed ccordance v tti the provZons of 11TLE of The State_Sanitary Code as flescribed in the application for Disposal Works Construction Permit dated-------- y./-$' ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....--: ..^....t' •.---•-$-7••-.....----••...-•--•---•-•....----_. Inspector.___...•--_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �S_ No..._ FEE..........1:.t: �i��u��I urk� C��n� ion �eraui� Permission is hereby granted.......... '= --------•----.......----------------------------------------------------•------------......-------------•--•---.... to Construct ( ) or;Repair ( ) an Individual Sewage Disposal System atNo............................................. --•--------r---------•------• it 4� y I�0 tre f�d� /.►./f' 0 as shown on the app Ication for isposal Works Construction Permit No.___._.,1_G.i._._._.____ Dated......... 1 .' ............. -- -------------- Board of Health DATE.................. -•-•-•---•-•-•-• ... ......•-•-----•-•---- FORM 1255 A. M. SULKIN, INC., BOSTON L•��1 Lot 2 i 3ii � 8 • , el. 5 .05 ,o � i lOOO EXP . tag., bolt 7.1 Z ` w + 85 _ 3 0 o is jl-6x1 r pit s s 2 ' stoneLot 1 0 18, 530 3.F. �J8�4 a w t\ 11.4 Scale 1" Date 7/25/: O X .4 o Frofile No Scale , SKETCH FLAN OF LAND IN HYANNIS,i,1A . k For MICHAEL FANDEL Being lot 1 as shown on a plan for Lawrence J. Moynihan and recorded in Barnstable °egistry Book 345 Page 69 Elevations have been adjusted 1.1 to USGS high ground water level. Date Agent ' Barnstable Hoard of Health All Cape Engineering Sox 1533 Hyannis , 14a. f st i it ''F -345L r I e 6/21 j82, Wit . n Gifford `dater les = ' han 2 min. per 1" L i - 121, 74 ME D, I ME I). s '`1a DF ll,,s. 5.4No SAND ! I �-p�✓ 1\ � CRANK i y 7 FRANK r; ID GuNcRY j `�I,r No. 8232 1 I i i i I 3( CONERY It �. etE_R .. \.� V,. G573 .CI,l. CrSTi�