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Home My WebLink About0569 MAIN STREET - Health y 569 MAIN STREET,HYANNI MIKOUD BEAUT n� 1 I, 5 I have. �v� csv1 Q Town of Barnstable, Mass Department of Public Works Map& Parcel 308- III -various o � e 573�c 575 Main Street Hy�nnis ON,Mwb UMA MW Wit-III-rK ( ; AD rW >y�MA urn ea sub rb se�m.rn rr ter• - - 00 Plan View Grease Trap Locations for Condo Units Scab: r.W at Map A Parcel308-111-various From ZV 0 P Subject ,�'�.�i`o `.s' �i'z•z� Date Message 7-, 1 C,%E - X - - - -CIL- 500Ta MA N S;, SEWc--2 i5m 5 1. ir'X SIGNED Reply DATE A ./t rLA 41-r . 47-223 SIGNED NAT/ONAL Made in U.S.A. THIS COPY FOR PERSON ADDRESSED ASSESSORS MAP NO:—3 h No..12��a PARCEL NO: FEs ......... ... THE COMMONWEALTH OF Wi.A-SSACHUSETTS p �J— BOAR® OF HEALTH ....:....OF............ - = --- I-.................................. Appliratinn for Biipniial Marks Tnnitrnrtion Famit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: . � .. !l � .1. �o.a:a btu. .... fi CS.............................................................. } � ' Locatior-Address r V 2rTo. -ah d5---0. /-------------- ess Atj Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......................... ..___.__..Expansion Attic ( ) Garbage Grinder (0) ��M -_-. No. of persons............................ Showers — Cafeteria v) p., Other—Type of Building .. _.... p (U) a' Other fixtures _________________________________ _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity------------gallons Length................ Width--------- Diameter---------------- Depth................ 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 Te� Rl -. •sults .m minutes p d by Depth of Test Pit____________________ Depth to--• Date.__..____....___.__________...___..__.-. Test Pi o ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-._-•_____-._.-_.._____- a --------------------------------------------------------------------- 0 Description of Soil..............................-----------------------------•----•-----•---.....----------------------•----------------•-----•- —----------------------------.--•-- V -•----•-•---•-•--------------•-------•-----------------------•--------------------------------- •-------------------•-----------------.._._.._: .......................................... --•--------•----------------------•---------........._..------------•------------------------------------•---.----- --- x �� [ ram fir- I. V Nature of e atrs or Alterations—Answer when applicable_________________________ � ____._______.._._______________..._____.. .......... Agreement The undersigned agrees to in all the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T,'i2 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be Nuiecdl.bnhhe board of heal6Signed . ...... ---------- ..-•-• -----:Application Approved BY ---------- -- - -• -----------------------•---•--- -------�-- --b---•------------- __. __ Date Application Disapproved for the f ollowi easons:._..._..... ....----•-•-----•---•--------------••------••---------•-••--•-••-•-•.......--••-----•---.....------................_.._...--•--------••-•--•-------•---•---•----•---------....---....-•---•-•---•----•-•- Date PermitNo......................................................... Issued...------•---------------------------...--------------- � Date No... :......... Fizic............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 . ... ...........OF............ ....... 5...................................... Appliration for Digposal Works Toustrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: . ...............1�0,00AI 5 ............................ Location-Address or Lot No. r ---------------- Owner Address -R-OW-1------FXI-A-VAIJIV&................................ _J3......... ---k,4 d . ........ .. Installer .Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder PL4 Other Type of Building C-CMA-A&.......... No. of persons............................ Showers Cafeteria Otherfixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width....._.____.___. Diameter..-_.._..._..._. Depth_._.._...__..._. Disposal Trench—NTo. .................... 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. I________________minutes per inch Depth of Test Pit.................... Depth to ground water________________..__,__. 44 Test Pit No. 2................minutes per inch Depth of Teft Pit____._.........._._. Depth to ground water........................ 9 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ x U ...................................................................................................................................................................................................... W - ---------------------------------------------- ........................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable---_-----------------i=z-----------------------I--,'--------I---------- ---------------b------ ........................OAA ...........r........................ Agreement: The undersigned agrees to ijtall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L'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 issued by the board of healt4. .-S!A_ . ..........................Signed................................................... ........ atq ApplicationApproved By.... ......... .1---------------------------------- ....................................... Date Application Disapproved for the follow1 9 r easons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ":...... ..0 F...................... ... ................... THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4,-) or Repaired .. ....................................................................................................................by.... Installer ------------------------ ............ ......k��9........at....... has been instilled in accordance with the provisions of T'= )' of The State Sanit�ry Code as describe(rin the application for Disposal Works Construction Permit No.-T ............... dated---6n*-.7----0....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. (�, ................................ Inspector.... ............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F..................... ....................... NO3..........� FEE........................ �) Uhiposal Worko Tonstrurtion "prrutit I Permission is hereby granted..........!?_R�------- ............................................................................. to Construct (1.,+or Repair an Individual Sewage Disposal System atNo.......C!a.q... .... ................ . 1'nt W..................................................................................................... Streetas shown on the application for Disposal Works Construction unit NoS........M.3 Dated..... ......k................ ............ ------ .................................................... Board of Health DATE------ ... ................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS