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Home My WebLink About0100 YARMOUTH ROAD - Health 100 YARMOUTH ROAD Hyannis A = 328 - 197 . y r 0 0 � :a No. Fe#zz� / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 4./ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliCation for Disposal *pstrm Construttion 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location.Address or Lot No. J OQ-,/P(v4,,,.,j. " O Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel 3,Qf — , C" SkKG V �k4,_ISr%na% 6V_%6LL^,t I LU Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. •! Type of Building: Dwelling No.of Bedrooms MOr Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction ai tenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 oft Enviro ental Co e and not to place the system in operation until a Certificate of Compliance has been issued by this Bo of lth. Si_ d ,, Date Application Approved by Date Application Disapproved b _101, Date for the following reasons Permit No.2kol Date Issued _ [ 2 *V � No. ff� ' .✓ E Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes a i PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS �pfication for Misposal *ystem Construction hermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ' ) ❑Complete System ❑Individual Components - Location Address or Lot No. Owner's Name,Address,and Tel.Na > ry.".,,... ( 1,t • "• ., 't ,, .,tom. "'t.a• . ! b,,l,. \/ i n �.•�.,..+a. .Assessor's Map/Parcel f. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type.of Building: Dwelling No.of Bedrooms / Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank: Type of S.A.S. Description of Soil i - i j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 'Agreement: E " The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in I j accordance with the provisions of Title 5 of they nvironnien al Code and not to place the system in operation until a Certificate of t Compliance has been issued by this Board of T4ealth. Signed ,. G' _ ( c, 1... fir,f Date ( k z r Application Approved.by Date Application Disapproved by r _ Date for the following reasons Permit No.Zo1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS �i BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( by at /t�ep �iAKrv►oct-s t1 i; hEYratNtiri s has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No.26al s/ dated '' 'V Installer Designer #bedrooms Approved design flow /)It n gpd ii �j The issuance of thTpe •it shall not be construed as a guarantee that the system will fimotion designed. Date -7 f J Inspector �:�/ V-V, -. -- < _ - - - - -- - - ------------ - -- -- ----------------------------------------------- .. . No. r`/ � Fee 2� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( \1) System located at / d® l •btj TW l/�!►�•/,,� and as described in the above Application for Disposal System Construction Permit'. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. f Provided:Cntructjon must be completed within three years of the date of this permit. Date ZO/8 Approved by LOCATION SEWAGE PERMIT NO. /6 e) VILLAGE A- 6 INSTA LLER'S NAME i ADDRESS ? ;� n R Q n B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /�� d_ ,,� 1 c re ,m , No................�� F&S.�5.00.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. --'Town...........oF........Barnstabla-------------------•----•--.......................... Applira#ion for Disposal Works Tunstrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 100 Yarmouth Rd.. Hyannis, MA 02601 ---..__................... -----.... .....-----------•--------.......................--•-•--•----------------...._..._.............._.. Location-Address or Lot No. RobertC.........................•-............................................... -............... Owner Address W A & B CesspoolService ...................................... .128.Bishos_Terrace,.--Hynnis1_• A....0260l.... -- •- p Installer Address QType of Building Size Lot...........................Sq. feet U Dwelling—No. of Bedrooms.....................a 3....................Ex Expansion Attic Showers GarbageCGrinder ( )P ( ) Q, Other—Type of Building ............................ No. of persons........k................ ( ) is ( ) Q+ 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.....:.................. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...-------------------- R: ----------------------- -•------------........_........_.--------------------------- ---------------- •-------------------- .......... Descriptionof Soil.......................Sand ----------------•-------------••----------------------------•------------- V ---•----•••••-•-•-••----••-•---•-•••----•---•---•---•--•----•-•••-•---------•-•---•-••••.....---•••--•....•••-•------•-•--•---••---------•------------------------------------ -----;---•-•......--- ----------------- - - - - ----- VNature of Repairs or Alterations—Answer hen applicable.---.Installation_ of a...l,_000 gallon pre-Ca t, stone packed leach it overflow ---------------P-----•••-•---•----•--•--•-•-P----•-•......--••••••---•-------•-------------•••..... -••----•-----•---•-•••------------•••••-•-•••••-•----•-•••-•••-•-:----;---------•-------•--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of SIT.L✓ y g g p y 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 boardeolth.. n 11 7 dgm Application Approved B •-•-••---••----- -�1 --��Z •---------•----- -- ..............----/-- /Z2....... PP Y........--._ f Date Application Disapproved for the following reasons-------------------------------------•-------------------------•-----------------------------------............_ ..--------•----------------------------------------------•-------•-------•--------------------------------••---•-•-••-•-••-•-•-••-•---------•----•-•••-••-•••-•---------•-------------•------........._ Date Permit No....Z9 -•-------••..................:..-----•-------- Issued........11/209----•-••------------.-.----- Date z No.-----79--74` Fss... <�,aQ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF......... .. Appliration f orl Dispoiial Works Ton,strur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ....1 G...Y eiA-h-•Rd-' Rptp}3 s....P4 f32$41-------- -•-----------------•----...................-----------•-••---------------•---..................... �bcatio Address or Lot No. Bolder.-- c313w1e--Fe1t,+t$s-•----•--------------------------•---- $ ..`�'S3�r �' ;•--1: aI3Tt ies FrA----E126Ol-..................... Owner A••&-•E....Ces spool.--Ser-viee------------------•-•-•-•-----•-•-----•- -42$-Blahops... ...026E-1---- Installer �dres Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms......................3--_.-_.-_-_-----.-•Expansion Attic ( ) Garbage Grinder ( ) p4 Other—Type of Building ............................ No. of persons---------4---------------- Showers ( ) — Cafeteria ( ) Q' 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........................................ Test Pit No. 1................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........................ ----•----------------- ----------------------------------------------------------------•------.............-•---------------•--------.............-----..-•-- ODescription of Soil.......................�a A.--....-••---••-•••--.........------•--•----•-•--------••••••--------••-------•-•----•-•--------•••••................................. W ................................•----••--•--•---••--•-•-----•----••-••-•--•-•-----•••-----•---•-•••••....•-----------------•••-----••••--••-•-•••••----••-•-••••--•--••-••••-•••-.....-••--•-••-----•-- W ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.............. UNature of Repairs or Alterations—Answer when applicable-----Installat1An-_t3f..a--1-,-000--gall on---pre—e -st, ...st-one..packed...leach•.fait....(averfl-cm-)-•...............................----------...------------------------------------------------------......--•---.--•- 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 issued by the board of health. ne ;'` .11 26 9------ �. � � i��' �• /Date Application Approved By............... ------•---•----••-•----•--------••-- , -, 11126/�9------ Date Application Disapproved for the following reasons----------------------------------•--•-------------------------•------------------------------•-•-------------•-- .......................................................----•----------......----._..........-------------•••---••-•-------•••••••••----•---•---•-•-•-----•---------•-------•••--...-•••--......----•--- Date Permit No.....79-............................................. Fssued--------ll 26J7g-------------------•------- D to THE COMMONWEALTH OF MASSACHVSETTS " BOARD OF HEALTH �a '23�...............:..�_c.�...........oF................R .. :table.....................................---.. rr firatr of wilutplianrr THIS IS TO CERTIFY, Thate Individual.Sewage Disposal System constructed ( ) or Repaired ( ) �. g P X by.. erxac�a,..H�rannia,...MA-----02601.-.--------775-b264:-------•--- Installer I ....026Q1--"._R.0bert..Ca=hrie-rFa1tuls..._.. h. bee installed in,ccordance with the provisions of TIT'LE 5 of The tate Sanitary Codo�as described in the application fo�isposal Works Construction Permit No......79-......, 1 .__. da.ted. -..._..11 26 79.................. +� THE ISSUANCE OF THIS CERTIFICATE',SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.-...120/79---------------------------------------------------- Inspector..... -• --------- . ... -- 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . -n ....0 F... Barns_tables............................................... FEE.... .00......... Eliiiplas tl Works TNon#rudion "unfit Permission.,is hereby granted_A-_&•-]3_Ce poo],_,Six^y ---Bishopa..T&rracp.*..Eya.nnis.,...MA....D2601 to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at No....100__Yarmouth Rd.2..HY.annis,---MA••---R264a...--.R.gbez't._ aZ�hria-k'eltuis................................... Street as shown on the application for Disposal Works Construction Perm' o....79.-... ..../f�He ...........IV2617.9........... 12 �j r'd It DATE ........................................................ FORM 1255 HOBBS W WARREN, INC.. PUBLISHERS