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Home My WebLink About0014 WACHUSETT AVENUE - Health 14 WAchusettAve x•"t " a Hyannisport g A;= 287-- 052 . • rn f �F yi 'µ ��I l % a rr 7 TOWN OF BARNSTABLE LOCATION /C/ il_�Ac_ )-lus6 / / AL-' SE WAG E # VILLAGE qV 'P ASSESSOR'S MAP Q LOT ;;L8 7 6572 INSTALLER'S NAME & PHONE NO. 7? C 1 SEPTIC TANK CAPACITY 1 S 6 LEACHING FACILITY:(type) (size) Cl z j A. NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER /�c DATE PERMIT ISSUED: 2 /5 1� DATE COMPLIANCE ISSUED:VARIANCE GRANTED:GRANTED: Yes No ✓ r, _� y �L. . i. �. a� � ��\� "� G � �� s-� O _✓ �\ � � � � � � 3 V`1 qq .t � � � M } � �Va a �' � �� -� ._ 1�_ i -7 ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Mipoii al Workii Tongtrur#iun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 14 Wachusett Ave HXannisport ................................................. •-••------------------•••••--•••••---....•--•---•••••-•-•--..............•--•-•••............•••-- Location-Address or Lot No. .D. McKeag ...................... .....•.........--- ••••••••••..................................•... ............••......----•••••••••••••-•--•••••......••-••••••••................................. Owner Address a wti >�obnsan...S� i�.. �xv��e tee 1 .. ..02632. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms._....4....................... _Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria � 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_--__-_-___-_-__.-.-_--. 4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 0 . Description of Soil.....sand................................................................-....................................................................................... x w UNature of Repairs or Alterations—Answer when applicable....1rX5ta11atiQn.__Qf..I---D=J X,_.aad........................ 4...atQrae-paQ}�Qd_.gs�l.lies........�.,.1500 gal septic tank. -------------------------------------------------------------------------------•..... 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 bvn issued�be rd of health. Signed - ... ................ -- --------- f-. Date Application Approved By ................. --------- ----b J 7---------------------------------------------------------------------- -------Y= = '� Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ---------- . . e�- Date PermitNo. / -....�. .......................... Issued ..............................................................------ Date No....2n......r_1�, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE AV, firation for Uiiivn,i� l Works Tongtrurtinn rrnti# A licatiori is hereb made for a Permit to Construct r pp y t ct ( ) o Repair ( X) an Individual Sewage Disposal System at L/ - 14 Wachusett Ave Hveimisoort ......--•--....._-•----------•---...--••---------............................................... .................................................................................................. Location-Address or Lot No. ....D. McKeaq..........................••••---•.........---._.._...._._.... Owner Address W iaj F. Rohl TL�l1I?..Cs?�+?1 C_.Sf?�S� �C......... ��0 1�1�9._('pn te�v�l�1.�e..1!lA... 2 632 Installer Address � Type of Building Size Lot............................S q. feet Dwelling—No. of Bedrooms---...a...................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building ...._...... No. of persons............................ Showers _ YP g ----------------- P ( ) — 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. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................•------------------•-------------••--•-••-----------••--.. 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........................ 04 ---- --------------------------------------------------- ••-•.......... •-------------••-•.----------•----------------- •--------------------------------------- ODescription of Soil...... .-r-----------------------•---------------..---------•-----•---•------------------------------------------------•--•--------•---------...................... x U --------------------•-----------•--•-•-------•-----••--•----•------••••-••----------........------•--•------------•---••-------•-----••-•----•-------------•••--•--•---------------••-----•-------•----- W UNature of Repairs or Alterations—Answer when applicable._-__�nt �l a r ,pn_. __1__•rt ,x�__ ,, ______________________•. ....a..St_,zze- c? ..c all 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 issued by e bo d of health. Signed .. �.. ... . .... Date Application Approved By . --.--r: _ __/�.--- - ---------------------------------------------------------------------- -------- s ...........................�... -- -.. o Application Disapproved for the foltouiing reasons: ................................................................. . - - -.... .................................................................. ....... .. .. Date PermitNo. ......... .......... }J ----- ------------- Issued .-------.--------------...................... ----------------- Dat THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (�erti ictt#P of l!°IIittylinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) by----------it%F R__r) inson...Sept.7.c.-- nvi-e--------------------------...---------------------.....---.. - --- --- ............ .........................................------------. c Installer at 14 Wachusett Ave Hyannisport 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. .......5;7n....:.....I r7...r..)....-.. dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE�CONSTRU D' AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. C DATE........................ . ' ...-2-. ........ Inspector .. :. ` "--- ---- ---------------------- ------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.....q� , FEE.. 30.QO....... Disposal Wor*h,5 T511mitrurtiou Frrutit tt Permission is hereby granted.....B.,..Rob nsan..snti_c.-Santi ............................. to Construct ( ) or Repair (-X) an Individual Sewage Disposal System atNo... •• ......5yaT < > •-•---..---------------------------•----------•----•-------------------•---•-------..................-- Street as shown on the application for Disposal Works Construction Permit No..��-.L r? Dated.......................................... ----•-----------------------•---- ........................................................ - �B and of Health DATE.....................1 •--- , =1)..----------------•----.....--- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS