The URL can be used to link to this page

Home My WebLink About0123 THIRD AVENUE (HYANNIS) - Health 123 Third Avenue Hyannis j A 245-1119 11 TOWN OF BARNSTABLE Y LOCATION /Q23 .3pc/ 1-;?bl SEWAGE # 7 `" ✓� VILLAGE �/y,�hh/S r/� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY Q'yC� LEACHING FACILITY:(type) / T (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:' VARIANCE GRANTED: Yes No fr No...... .3.0.4.0... THE COMMONWEALTH OF MASSACHUSET (37ru BOARD OF HEALT TOWN OF BARNSTABLE Appliratiou fur Bi�puutt1 Wur1w Tomitrnrtin e i t Application is hereby made for a Permit to Construct ( ) or Repair (X)� an Individual Sewage Disposal System at: 123 Third Ave West Hyannisport ••----••••--------•--•-----.......•-•••----•--------............................................ --------------------------...........-••--------------•--•--------•--•---••••..._.............---- Location-Address or Lot No. Curran ..................._.....................----................................................. ----------------------------------•----•-------------•••-•--•----......-------•-•••••••........... Owner Address aZ._P-.-Ma-cromhex...Jr-_----------------------------------------------------- ------------------------------•--•---•----.......----------------------------.....-----•......•--- Installer Address PQ UType of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms--------------------3----------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures w Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth................ W 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.....----------............-----........ aTest 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........................ 9 ------------ ----------------------------------------------------------------------------------------------------------•--------------------------•••-.....-- 0 Description of Soil..................................................Sand...&...Gxaval.................................................................................. x w UNature of Repairs or Alterations—Answer when applicable--------------Omi-t... ess-fool-.._--Ixtstall................... 1-_1000...ga11on__tank---l--distribution box--_1.-1000---gallon leachin-g..�it . 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 be is ued by the board f healt . Signed ..... .. .. . ..... -- ------ -----..8./.2/..9a....:...... � Dare Application Approved By ------ .. ..... ------ -----e-- --- . --.. .. .................. ..............— - Dare ------------ Application Disapproved for the following reason : .............................................................................. ........ . .............. ..................... 9 1 Permit No .-��.............. � - Issued -.�..... - � Dace - Dre No..Y_...y.. :� ...$....3....00 THE COMMONWEALTH OF MASSACHUSETTS r ~ BOARD OF HEALTH,' ��( ` I ; TOWN OF BARNSTABLE',, a S I I Alipliratiuii for Biupuiittl Workii C�uit rnrtt,an rruttt g � Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 123 Third Ave West Hyannisport ...............................•---..........__......-•-•----------------------.._........__...... _..-•---•---------------------•----------....•-------•--•--•-••--....._••-••-••--•----•------••--- Curran Location-Address or Lot No. Owner Address aS_d.P._..M3!`�2lnhr�r•-+Zr. -•................................................ Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling-X No. of Bedrooms___________________ _______________._.--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. -o persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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............ :__------------------------- W Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water.........._._.__..__.... r3;4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a+ ------------------------•--------------•---•--------•-•---------•-•--•---------••••---------._............................................................... D Description of Soil..................................................Sa-nd---.&... ravel----------------------------------------------•--•= U ----------------------------------------------------------•-----------------------------------------------------------------------------•---....--------•-•-------•-------- W UNature of Repairs or Alterations—Answer when applicable..............Omi_t- Cesspool. 1nstall_ _ 1-1000___gallon tank 1-distribution box- 1-1000 Gallon leaching 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 beep issued by the board of heap Signed , '. 8 2---------------------- Datec3.. . _ ..}. .. _.. Application Approved By ...... / �' 1.S. '� ,� /l' �..:........... Dace Application Disapproved for the following reason�--------------- ------------------------------------------------ . ..i.............e.. .. 1_1-.-------------..........------.......--------........_---.._..........._..............t. ..... Dace Permit No- -..... .` --......... - Issued ....... � �_ ../ .. ......... ..... l.... °Duce ----.---_.--_-- _. ---------------- --.-----------------._:----_.----_.-------- i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�elrtifirate of Q-11omplian.ce .THLS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX� acomner by �,- t�s�aue at -----123 Third Ave West Hyannisport--------------_--------------------------------- has been installed in accordance with the provisions of TITLE of The S ante-Environmental Code as described in the application for Disposal Works Construction Permit No. �... . .,.__` dated ......._..__.......................... NOT 6E CONSTRUEA AS A GUARANTEE THAT THE THE ISSUANCE OF THIS CERTIFICATE SHALL • U SYSTEM WILL FUNCTION SATISFACTORY. DATE - 5F - .. ` ----- Inspec _r"------------- ------ /', >- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH �.�`'.�`' TOWN OF BARNSTABLE FEE---..$ 30.00 No----------------••-•----- ....--•----•-•---•- Mipwial Vorkii Tunu#rudiun "rrntit Permission is hereby granted___...P.Macomber Jr. -- to Construct ( ) or Repair (XX) an Individual Sewage Disposal System 123 'hhird Ave West Hyannisport----------------. ---------- ----.�. /... .:._.. at No. -- -- ------- --------- --------- - C Stree as shown on the application for Disposal Works Constructio Permit tNo. r --D at( d.._.!!.__� ./.,� ..1.....___._.... Board of Health DATE -1.t.. --!-' I ___--•-----------------------•------- FORM 36508 HOBBS R WARREN.INC.,PUBLISHERS