Loading...
HomeMy WebLinkAbout0074 GROVE STREET - Health 74 Grove.Street Hyannis A= 310-162 r TOWN OF BARNSTABLE LOCATION _ R D IO-Z 5 SEWAGE # - VILLAGE &yt Al-411 S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. /{4 ,Q.C. ®A4efX ,A, SoX/ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ` 71r (size) /. o®p NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER I ' DATE PERMIT ISSUED: ay q DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No O , � . � ,,.''" '�,ir .��i _ ia�� 0 .. � � '� . . ' � f � � .;r:f � .r s ��r r . s,��, � > - -- �J N023.�. .. Fps.... ................ �. APPROVED THE COMMONWEALTH OF MASSACHUSETTS eamstable Conservation Department BOARD OF HEALTH AE '/'_- WN OF BARNSTABLE —7—Siified Date Appliration for Diti-po.!3ttl Workii Towitrnr#inn runtit Application is hereby made for a Permit to Construct ( ) or Repair (X)o an Individual Sewage Disposal System at: .7 4... i.s--------------------------------- ----•------------------------------------------------------ Location-Address or Lot No. AnneKell.X....---•-•-••----------------------------------------•-----•--•----•-- ........... Owner - Owner Address a J•.-r.Macomber---Jr•:__•--•-._.__ Installer Address Type of Building Size Lot............................Sq. feet V Dwelling-X No. of Bedrooms..............2........._-----------.------Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a 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 ( ) Percolationt Performed by------- --------------------•---------...------------------------------. Date........................................ � Test PitNo. I suits ---minutes per inch Depth of Test Pit____________________ Depth to ground water......................... Git Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.-----___--__-____--__. RS ----•--------------------------------------------------------------•--------------------------------......................................................... 0 Description of Soil........................................................................................................................................................................ x -------=-------- V -- ......................................................................................................................... UNature of Repairs or Alterations—Answer when applicable.........omit cesspools . I n s t a 11 1-1 Q 0 0 allan...tank......1.- isfAr_ibu.tion._ cz ...i_-.10QQ---- a11on---laach-in.---ni-t '--- 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 ee iss ed by th bo d of health. Signe - � � 1.21 .3�.93..----- Dace Q ApplicationApproved By ----------- ....................... --................ .............................. .... Application Disapproved for the following reasons- ------------------------------------------- ---------------------------------------------------------------- - ----------------- ------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------- -------------- -------------------------------------- Date Permit No. - -_`..?5---......4?... A----------------------- Issued ............................... .................. ...... Dare FEs.... ....3 0.-00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN OF BARNSTABLE 3 Apphratinn for Dili-,putial Wnrk,i Tomitrnrtiun Prrntit Application is hereby made for a Permit to Construct ( ) or Repair (gV an Individual Sewage Disposal System at: 7 --Grove_.Stye.... ..yanxli s................................. -----•------------•------------------•--•-------------.......----•-----•-------...-------•------- Location-Address or Lot No. Anne Kelly ............ .......- ..... - Owner Address aJ.P,Macomber Jr. ----------------------------------------- --------•--•--------•---------•-•••----•••-••••-•-----•--•--------•------------------•----........ Installer Address Type of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms--------------2-______________-___-. --_-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of 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-.I'- ................ 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........................................ a Test Pit No. I------------ ---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........................ Q+' ._.......... . A1.1" ----------•-•-- -•----------------•-•••---••----------•-••......•....... 0 Description of Soil........................................................................................................................................................................ V •-•------------------------------------•--•------------------------------- Sand & Gravel-------•---------------------------...-•-----------------------------••----•••--••-•--. W x ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._.-----.Omit _ ee s s po o 1 s . Install - 0 0 b -----------------------------------------------------------------------••---- a 1 1 can_..t_anl�......1-��1atbu %on...box...1.-1.000.. gallon_.leachinq---n1-fit................................. 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 hasV4ee iss ed by th boated of health. Signe l��s - ....... -- ..1.2/13/-9 3 r � Dare Application Approved BY - -\, - -- -- . ..... .......�. .....V. L� ^.J..F:7 �- V --� ----------- Dare Application Disapproved for the following reasons- ---------------------------------------------------- ------------------- ..---...........------------.----------------- - - - ----------------_..............................------...........---------------------------------------------------------.-........................_...---------- ._.. .... .................... ' Dace Permit No. .... ��...-.. j d--------------------- Issued --------- Dace THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Cnex#ifirate of Tarapliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by J.P.Macomber Jr. In all 74 Grove Street Hyannis at ..........................................._...._-------------------------------------------------------- ----------------...-----..._----------------------------------------..._._---------------------------------------- has been installed in accordance with the provisions of TITI.E 5o f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----- -. -----1;F...©------- dated _---------------------------------_......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... .......L._`.. .'...�.-3-----._._............................_---------- Inspector -----------J j. ------------------- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C. TOWN OF BARNSTABLE No.. ��—�.�-�-�... FEE....�...30.00 �Wpasal orb Tunitr ion Permission is hereby granted--------J...P_.Macomber.... r. to Construct ) or Repair �X ) an Individual Sewage Disposal System at No.... G 74 ove reet Hyannis --•---•----- •------------- -----------r S -- Street qq as shown on the application for Disposal Works Construction Permit Nc,12`7610- Dated........................................... 9 = - - ------- ... DATE........... ,.._ ._ ....._-7-.._�............................ Board of Health FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS AsBuilt Page 1 of 1 C-, TOWN OF BARNSTABLE LOCATION .Jy 6 g,6 1Z 2_ - St: SEWAGE # � VILLAGE &y4 A1411 5 ASSESSOR'S MAP & LOT r INSTALLER'S NAME & PHONE NO. ,J-,p A4 1d C ONt,KfR ,, 5a.y SEPTIC TANK CAPACITY % 6 oO LEACHING FACILITY:(type) ,p�>' (size) Z. oon NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No O ,1 4,ttp:Hissgl2/intranet/propdata/prebuilt.aspx?mappar=310162&seq=1 2/23/2015