HomeMy WebLinkAbout0048 STRAIGHTWAY - Health 48 STRAIGHTWAY
-Hyannis
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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 (_/
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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 ..--•••-•-••---------------•-•-------•------•-•----------•----------•--•----••-----•-------•---------------••••••••---•-----•-••------------••••••••-•--•----------•---•-•............----•--•----------
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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
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No.. -••--------- Fms....... C� .
p g THE COMMONWEALTH OF MASSACHUSETTS
J -----� BOAR® OF HEALTH
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........... ..... ....................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
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i lOOO EXP .
tag., bolt 7.1 Z ` w +
85 _ 3 0 o is jl-6x1 r pit
s s 2 ' stoneLot
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0 18, 530 3.F.
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Scale 1"
Date 7/25/:
O
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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�