The URL can be used to link to this page

Home My WebLink About0457 LINCOLN ROAD EXTENSION - Health / f 57 Lincoln Road Extension _ Hyannis �< i4 = 271 027 x V 0 i AN VD'A *�1i0e0b � W Ob ,�p31H�d , i ddW l5 Zd y a --------------------- 1� f 4 5 � . TOWN OF BARNSTABLE LOCATION 7 SEWAGE VILLAGE !S ASSESSOR'S MAP & LOT 19M 0X1 INSTALLER'S NAME & PHONE NO. 0 6 0 SEPTIC TANK CAPACITY 0 LEACHING FACILITY:(type) P/ ` (size) r �� NO. OF BEDROOMS PRIVATE .WELL OR PUBLIC WATERtC' BUILDER OR OWNER ® �� '� _ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No [� � � � � � � � 1 i 1 � � r � � � �� ,► �� s �a -� �1 - � �' � � J �� ,� �_ t 2-7 -7 No.... 3....?.......' Frt$........ld....'.- ... THE COMMONWEALTH OF MASSACHUSETTS Ao BOAR® OF HEALTH TOWN OF BARNSTABLE Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L1 5—7 ...2....U..Vi/ /-/ -------• /sV uk Jm S .....................•-- ....... -•----•. •••. ---- j o -•......-•-•-- �2� pc -Address r Lot No. _ie ......................_----^---•--......-••.....•-•-••-----•-•---••-----........................ ......•..........................................................................--^---......... Oo ncr ddress 944 A, Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..----3----------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type a yp of Building �/�-�'¢`�_�._____ No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------•----•---•------------------------- --.._._..-----•---------- ---------•-•-•--------•-•----...................---.......... W Design Flow............................................gallons per person per day. Total daily flow....................._......................gallons. 1:4 Septic Tank—Liquid capa6ty.15 gallons Length---------------- Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 'I x 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. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ LX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •--...-----•-•--------------•---•••-•-••-••--•--•-••--....• ---•-------------- -- ....... ...........•••-•.........•-----.....---..••........--..... .. ... ... O Description of Soil...............5-fit.1/--�Ly...JCS==� v � f-----------------------------------------------------------------•-••-------- U ....---•..................••-•-•-----------•--...--••--------•---•-•-•--•------•••---•--------------•-••••---••-------------•••---•--•-•-----•---•---•--•----•-•-•-...---....---........................ W ...................................................................................................................... r. U Nature f Repairs or Alterations—AnswTer when.applicable.._ ------- SUS -----Add.•••-•4V��....... ....------.T-4.'1/.�...---•-••------./n.0 ------ -.mil------..L----�1..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 Compli nce as been isjsu94 by t e board of health. / < � `. Signed ................ .. ....... '4-�.. -:....... ..1U.-.......................... Dare Application Approved By .................. �. . ...... ��a .. ..-...j Due Application Disapproved for the following rearons: ............................... . ............................................................... ........................ ........ .............. ..... ... ..................... .................... ..... . . ... . ......... --- ........ ... -- ............ ...... p �r Dare PermitNo. i ..-....J.-.?.5----------------------- Issued .....................-.............................................. Dare `:ti-,:�=.-r.....o.o•...t:.....�.�-....:..��i.,.•.�: r�. � .4r.%w:,'�.fx :ILrl 3stt...�. eo��..-.- - -r-« "tF.� .. .� yC w,,..S-Y;$i'' W� �:Sar4e+�,1...« ..,..,+.�r=�.�•.�y.aa -.-.*.wvt:-:+e,.'�`'+�,r. -.�...-. �\r^k'..J,e .,�,�`. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 7`�Xppjfrafiviffur Diripuiul Wurk.6 Cnunutrurtiun Krumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) airIndivid6d Sewage Disposal Systte/m at: / .- Lgcatu n-:dress • �oK1��f m tom. or Lot No. .................................................................................................. .................................................................................................. O�sner _ Address Z5,14 IV Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................................._.__Expansion',Attic ( ) Garbage Grinder ( ) CLI Other—Type of Building _ '__.... No. of persons------ Showers ( ) — Cafeteria ( ) d Other fixtures ---------------------------------------------------------------- W Design Flow............................................gallons per person per day.Votal daily flow............................................gallons. WSeptic Tank—Liquid capacity.L5�QgalIons Length---------- Width________________ Diameter---............. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ Diameter_____.-_--(-........ Depth below�inlet.._.l............. Total leaching area..................sq. ft. Z -Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ GXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............................. ....•--------------•---------------------------------........---------•-.........•••---•••---••----------...................... DDescription of Soil---------------- ---------------------•-----------•-----------------.._...---------....----•---------............... x W / ----- U Nature of Repairs or Alterations—Answer when applicable.......... �1 ......_->C!4.i-f-e-Cf-.......... ' S�UCJ ....... de-1-----.6477 C ...... =�•-------.. _V.-�...................1 10.0-----��----....1 f�(..f.............................---- 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 issued by the board of health. Signed ...... .............................�.._ ...-..... ti .. �"- 1 U. �•� Dare Application Approved By ............. ..... - ''.. '..:....C1 Date Application Disapproved for the following reasons: .... ..................................................... ..... . .........---.................. ............................... .... . - - . .................. . ......................................:................... .............................. D ate Permit No. .......J.p.�,n....��';'_1 --------------------- Issued ...... ................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fEr#ifi ate of Tomplianu THIS IS TO CERTIFY, That the Individual Sewage Disposal System co..nstructed ( ) or Repaired ( ) by ..................... ........ ._... .. .. ......... .. „ ........--....----------------..._-----.... - ........... Installer at ................. .... /..�'r/.� .0..�.K� .....✓� T=....�'r - -.......1 .l�An'►---- -------.. 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. ...... dated ------I.U/..�1'.:. �.''............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED, AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ff) /.�. 1..........�......................_..... .. .. --__...... Inspector .................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.-- FEE...... ....r Ropnoal Workv Tonutrutuan "Prrntit Permissionis hereby granted.........5 - ?.....- ----------------------------------------------------------------------------•---............. to Construct ( ) or Repair ( ,)-an Individual Sewage Disposal System at No.----------y�J------- `!- ............A rl....... k t------ . ;,C1,1_1 /V/tl)I.S Street t as shown on the application for Disposal Works Construction Permit No._f�__3: 5��,5?Dated.............................`. e� Board of Health DATE............. f,I_.....` ...............1 ??------.----------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS