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Home My WebLink About0011 WEST HYANNISPORT CIRCLE - Health II W I�►y1�V1iL�� Ur•, F4�s, a�� / 09 d � - - � �- TOWN OF BARNSTAABLE LOCATION l�of lb'-N� /l I,J l�yannjSeb/Ztl�,ec $SEWAGE VILLAGE X-1!X Q h n; r ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ,1oS nh = Y)'�/Fgq 0 4/22-offaV SEPTIC TANK CAPACITY Jv U o 30-- LEACHING FACILITY:(type) Z�ad4- a / (size) o o o 0 NO. OF BEDROOMS_-, �PRIVATE WELL OR PUBLIC WATER ►G BUILDER OR OWNER S DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �2- VARIANCE GRANTED: Yes No T n 0 o �p_ 0 1 � SSESSORS POP NO: 1;L b 7 — No..�.6.-- --t a I ... ..... F��. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -----------------------------------------OF......................................---------------------.....---•----•------------.--•- ApplirFatinn for M-4pnal Worko Tom1rnrtiun ramit Application is hereby made for a Permit to Construct �or Repair ( ) an Individual Sewage Disposal System at: Z4017- 4_1AE_3T L ca ion-Add Lot o. fZ a Joe_ O�nSF,o Address Installer Address Type of Building Size Lot__-- ....................Sq. feet U Dwelling—No. of Bedrooms............. ............. .Expansion Attic �d) Garbage Grinder (ADD �+ Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. . W Design Flow..............5_?-......................gallons per person er day. Total daily flow............�?...�. ...................... 9Septic Tank—Liquid capacityl .gallons Length__ ram'..... Width_(/.I�..._ Diameter________________ Depth.............. Disposal Trench—.\?o. .................... Width.................... Total Length..........i._...__. Total leaching area....................sq. ft. Seepage Pit No.______-�.._.__.... Diameter-------9........ Depth below inlet....l�............ Total leaching area... ....sq. ft. Z Other Distribution box (✓r Dosing tank/( aPercolation Test Results Performed by------ .........f4. Date..... -0-.S3-------- � Test Pit No. I......0_.....minutes per inch Depth of Test Pit----1Z......._.. Depth to ground water... ®------------ 4q Test Pit No. 2..... ......minutes per inch Depth of Test Pit.../...__.... Depth to ground water----Z�......... a --• • •-• ••• ----- ---------•------- - 0 Description of Soil...... _---1•-----•---- 4� �J6_�/�----- --------------....................................................... W ----------------------- c� �� -zr� °' z` ----------------....----- .i!c%`�7�` - UNature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------------------------------- ----------------------------•-------•-----------•----------•---._._...--------------......------------------••--------------------------------------------------------------------------..........---•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi 1 E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed b i the f health. Signed. 3 . ----•- / . ...... e Application Approved B Date Application Disapproved for the following reasons:.. =------------------•---•---....----------•-----------------------------------•------------- ....--••-------------------------------------------------•--------•---•--.....------.....------•--•-.-••. /' L () / Date PermitNo. _�-......................................... Issued-....................................................... Date No........................ � � FEB.........................._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F............................._........------------------•-----------...._...............-- Appliration for Uhipmal Works Tanstrnrtiun ramit Application is hereby made for a Permit to Construct (,/j or Repair ( ) an Individual Sewage Disposal System at: / ..- / /a l" oc tion Add Lot No. fa_- , -U-----�- W J o L Q-'••)/1/4 Address _ Installer Address Type of Building Size Lot...... ;�.v—._Sq. feet Dwelling—No. of Bedrooms.............. .........................Expansion Attic (r . 0 Garbage Grinder (mot/ pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...............................................................------------------------------------------------------------------• ..------------ Design Flow.............. .....................gallons per person pey day. Total daily flow.........3 5 C2.....................gallons. WSeptic Tank—Liquid capacit/(X>..gallons Length..Zk .. Width_(/._l-� .. Diameter................ Depth................ x Disposal Trench—No. .................... Width..................... Total Length..................... Total leaching area--------------------sq. ft. Seepage Pit No--------- Diameter.......`C3---_-...... Depth below inlet............... Total leaching area---�.).....sq. ft. Z Other Distribution box (✓f Dosing tank ( ) aPercolation Test Results Performed by c��/2/27f, Date..._�d`. ��.-_. ' ........ a Test Pit No. 1.__._ _____.minutes per inch Depth of Test Pit.../Z.......... Depth to ground water...!&------------- (i, Test Pit No. 2-----4-......minutes per inch Depth of Test Pit__/.&.`....._.. Depth to ground water... .......... a -----•-----------------------------------------------•••••......•••......................................................... ---------- --------------- O Description of Soil.....-lJ---`=--1............-----�......------ E-�6/L--------------------------•--------------------------------------------------- -------------------------- ---- --------------'�-�1=' --------I``fr < ........................................ zz. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT 51 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued b the oar-Tof health. Signed Application Approved BY C �f'` l / to .................................................... Date Application Disapproved for the following reasons:....................................................-•___._._....._._______._..__..............._........._.._ ...............•-----------...-•-•-•-----...---...-------------•-•---------•--------------•--••---------•._...........--'•--•--------------------------------------•---------------------------....----- Date PermitNo...... .............................................. Issued-...................... ------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... �r�ifirtt#r ,af (�,ant��i�nrp THIS IS TO CERTIFY, That the Individual Sewage-Disposal System constructed tV) or Repaired ( } by ------. ----- -•------•••-. -----------------•� ----4. ^ =-- Installer �U 2A 7 F1./ Or C 1 V L' E at. ---.._ -•----••--•-.L ---------------------------'._.. r---------------------- has been installed in accordance with the provisions of TiTIE 7 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No � _...a::C ............... dated l!_-!.Q�._ _ ___-._____-_•_-_--_--•-• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNZ1 I)N S4TISFACTORY. _ DATE.....................................)_1: .�.....-.................. Inspector---• .��------......--------------•--•----•---•-----....-----......------. U A (Z1}i " -f , (vhhii,vN^ L — 2 6 7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �'6 - 1 e OF............................•-•------•--------••-......••--........... J aG `TO. .................. FEE.......-._............. Disposal Workv TWan#.r ion amii _ Permission is hereby granted........ ._..` �t a 17�� ----.�In ....�1 ��I � ........................ I ( to Construct (�II ) or Repair ( ) a Individual Sewage Disposal System ` at No.f h ...�_. r{��J..��.......... � ._.. �.�........�-�- .Ur CI 1 C � `....................... ��.._._ ----------------•--....------•---• ------Street - --�-•---------•-••--••-•----•--•-- Z7 Jp as shown on the application for Disposal Works Construction Permit NL ........... Dated.._..r��.��_v�!-�?.h......... f/• �} Board of Health • � V DATE....... ....... ................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - ' r ' ` i not 1 � t`rrr a 1 i s' w - OUR ' Town of Barnstable h f Board 'of Health r r Town Hall 'c t Dear emirs: ,.fps L certify that the sanitary system shown on a plan for Robert Glover dated 9-23-86 on Lot 92, Assesors map 267 at the corner of West H annis ort Circle and Old Schoolhouse in Fyannis was . installed according to plan design. Road •r, t ,r, J # (. Sinc erely, � YL i ri Fj d A r too JT,1 4 1 �r x ^ r t s � / r .. "''/0~ �' :�'`i4cdRLuwr�.-e.!�g:-. �: � � �,►n 1�,� � .o,� i ,. , `7 1 , o o� J ` ld r 77 U ' �9 `fly y woo r C 7 �s 4 / 77 . ct, c� c Iry y72L 9�yZIL- - .. . ; AORAN