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HomeMy WebLinkAbout0216 STRAIGHTWAY - Health ar.Y / ia� TOWN OF BARNSTABLE V LOCATION SEWAGE # 2.- J VILLAGE (���nn,`S ASSESSOR'S MAP & LOT b b INSTALLER'S NAME & PHONE NO. S • ?1714 -SEPTIC TANK CAPACITY / t LEACHING FACILITY:(type) i� -(size) ZC2W r2alz _ NO. OF BEDROOMS PRIVATE WELL O UBLIC WAT p BUILDER OR OWNER � ��,✓t -ems DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: k VARIANCE GRANTED: Yes No 1 i i I G d i ^dJ_6 No...��..,a� - F�$.. ....30.00 THE COMMONWEALTH OF MASSACHUSETTS I-I APPROVED BOAR® OF HEALTH Rdrnstable Consorvation oepennaM TOWN OF BARNSTABLE fir #ion for Uhipoiial Works Tomotrurtio ant t Application is hereby made for a Permit to Construct ( ) or Repair. �X) an Individual Sewage Disposal System at: 216 Straightway Hyannis ,Mass . ..... - _... .............. . ............................................... ----•---.....---------------------•---•-•-•------•••-•.......•--•--.............._..............-- Location-Address or Lot No. Dela. Hardman Owner Address W J.P.Macomber Jr. ,-4 ---....... ........ Installer Address P UType of Building Size Lot............................Sq. feet DwellingX—No. of Bedrooms.........2-.-_---•_____________...........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d 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. 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........................ f14 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ •------•---------------------------------------------------••-•-•--••••-----••--•-----------.........----•--------•-----•---•. 0 Description of Soil.....Sand & Grave- 1 x --- ------------ V ......_.....•-•••-••••••-•-••••••••••-•-•-•-••-•-•---•--•••••-----•-------•--•-•••--•-•-•-------...••---••-•••••••••---------•----------------•--------------........................................... 0 Na ure of Repairs or Alterations—Answer wh n a p icable....____________________________________________________________________________________________ 1-MO gallom tank 1-1000 galeloT leach plt. • • • • •---------------------------------------------------•-•-••---------•--••-----------------------------------------------------------------•-••••--•••-._.....----••-- 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 bee is. ed by the bo d o health. Signed .. , #L i........-- �.........---------- ................/92.----------- Dace Application Approved B J -------------------------- a- pP Pp y ...................... ..- ------ ' Dale Application Disapproved for the following reasons: ..............................................._--. ...--.................... ---.........--- -------- ---------........... .................--------------------------------------------------------------------------------------------- -- --------------------- --------------------------------------------------------- -------------------------------------- Dare PermitNo. .......... --a'--'-----.. ....................... Issued ........................................................... Dace M No....9. .:.� Fxa..$....30.00.. THE. COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . TOWN OF, BARNSTABLE �~�� AVV trafilan for Disposal Vorks Tonstrnrtion.., .ermi# Application is hereby made for a Permit to-Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 216 Straightway Hyannis ,Mass . ...... - ...-----•......-- ...•------••--...------•-••••--------------------------- ................... _.................................._....................................... Location-Address or Lot No. Dela Hardman •.....................-----••----•-----•........---•---••-----...•...........--•••----...._._.... ..........••...................................................................................... Oner Address W J.P.Macomber Jr.w a ...................................................................-------------------•---------- -•-•---•-•--•--•---•-•--------._.....------------ -- ... ------------------ ------•......---------- Installer Address UType of Building Size Lot............................Sq. feet Dwellings No. of Bedrooms.......... ................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Buildin a Other—Type g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water................ .._.. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._....._.....__...I..... -----------------------------•-••-•--••-•-------•••---•--•----•---•-•--...--•-•-.....--------........-----------•-•--•--••...-----•-•---•..........•••.-•---- 0 Description of Soil.....Sand & Gravel x -- ------•------ V ....._.....•-------•----•-•--•-••------------•-----•••--•----•-•----•-•-•--•-----•--•••-------•--•-----------•--•••-----------•---••-----•---------•--•-•••-•-•-------•--•......................•-•_-••. W l VNature of Repairs or Alterations—Answer wh n applicable._.......................................................... ............................... 1-1000 gallon tank 1-1000 gal�ion leach pit. -------------------- . . ...--•-•-•.....-----•------••••. •---•-......--------••-•••-•----•-•••••------••-•---••----------•............•--- 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 isss f d�jbb the board o health. r 0�// !1'yr(�uv�Signed - �� ....... 3/27/92 A lication A roved B Da e PP PP Y C ..� ..---- Dare Application Disapproved for the following reasons: .. ................. . ............................ .. -----------...------------:_.....------------. -------------------- ----------------------------------------------------------------------......................------------------------------------------------- -- ------- -- ---------------- .................... ....................................... Date PermitNo. ..........�..a =.------L-0----------------------- Issued-!^---------- -----...---....................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11e>r#ifira e of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX ) by ....J-..P-.Ma c-gmb e ....Jr-=. ........................................ -- ----............................................................................................................... 216 Strai htwa Hann Installer at ....................... .. ----------y-----..y ...... s ,Mass. 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. -------- �_---.-/__t �J........ dated ....____________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEDATEM WILL FUNCTION SATISFACTORY. Inspector � - �/ v G� / ------------------------------ ------ ..............vT.-................. ------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... TOWN OF BARNSTABLE FEE. ...30--.......----00..... Disposal Workii Tonstrftdivlt pautit Permission is hereby granted....J P Macomber Jr. . •........-- - to Construct ( ) cr Repair (X ) an Individual Sewage Disposal System at No.21 .... traightway hyannis,Mass . . . . . -••-------•.---••••. --------•••--•-•-•-•-•-•-------------•-•-••-----•-------•--••--•---•-•-•-•............ Street qq as shown on the application for Disposal Works Construction Permit No._.l.-11fd.. Dated.......................................... Board of Health DATE------------------ ---'_f FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS