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
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BUILDER OR OWNER � ��,✓t -ems
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
k
VARIANCE GRANTED: Yes No
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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