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Home My WebLink About0628 MAIN STREET (HYANNIS) - Health (2) j0 '�.-8 71'Ia iPi5 f reed' o`Qa YML5 TOWN OF BARNSTABLE LOCATION fr7' SEWAGE # VILLAGE /7'y A Al elI S ASSESSOR'S MAP & LOT � g- 0�2 INSTALLER'S NAME & PHONE NO. S-o,4/ SEPTIC TANK CAPACITY LEACHING FACILITY:(type�-Z 6! �e re (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �,,,"✓ � � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ih, � /G I � � � i / ASSESSORS MAP NO: �D� -- PARCEL N0:No .......... THE COMMONWEALTH OF MASSACHUSETTS • BOAR® OF HEALTH -----......_T own. ...............O F..............Bar.ns.t.able------------------------.................... ApplirFation for Disposal Works Toustrurtiun rruti# Application is hereby made for a Permit to Construct ( ) or Repair " an Individual Sewage Disposal System at: 628 Main Street HXanni•s................lZa..•r.beam-...& 5 ulf......................... - _............. ...................... Location-Address or Lot No. M.r.••••Alan_.Ar du inn...j w----•------------------------------------------ ----------------•--------•--••--•--- res-------•-------•--••------------------------ ner Adddress amkzer_....-------•-••--•-•-------------------•-----••--••--••-••----•. --•---......••----••------.........................---••-•--•--•-----------------.._._....-•-•---- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................•....._..._.____ .....Expansion Attic ( ) Garbage Grinder ( ) U A4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 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 Test Results Performed by.......................................................................... Date........................................ aTest 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................_....... a -•---•-•-•••----------------------------------------------------------------------------------------------- •---------------- ------------------------------ •-- ODescription of Soil----•--------Sand...........................................................................----------------------------------------------------------------_.. x U ------------------•••-•••••---•-----•---......_..-•-----•--•-••--•---------------•-..........--••-••--------•-----------•--------------------•-•-•--•------............................................ W VNature of Repairs or Alterations—Answer when applicable.______--1.-h 2 Q----1.Q OQ.._gal l on--_g r e a a e--trap_,_-. ------. •-•---------•-•--•--•••-•---•-••--•--••-•--•-.-•--..•------•----•-•---•••••---=-...-•••--------••------•-••-•--••••------•-•••••••••-----------•----•------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'Ti'T'-.t. j of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued b th oar of healt Signed j� •------------ --- 2,�1/8 8 ` Date Application Approved By................. ---------- --�--? t,..�*.a-..r-.3. ----•--• Date Application Disapproved for the following reasons--------------------------•-••-----------------•-------•-------------------------------------------•••...-------- ..-----•-•-•-••••••••-•••----------------------------•••-•---------------------•-•-..._..------....-•--•---••-•••--••••---•---------•--•-------•--------------------------------••--•-••--••---------•-- p Date Permit No.----------Q-K n.-�-�- ------------------------ Issued.....---------- Date �� ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......Town------------......OF............Barxt.q.tabl e.............................................. Appliration for Uispaa tl Works Tonstrurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair gX) an Individual Sewage Disposal System at: 628 Main Street Hyannis..............Zce...Qr.gam---&...Stuff -. --...---•----- .......----•-.... .... Location-Address or Lot No. �..Y}.Q-------------•------•---•------------------------------ -^--------••--------......--•--..............------._____............--......._............_..--- Owne: Address a J.o P...Ma— Tq -- ----•-...... •--•---•.........................................••--•--.....---•----------------.._.......------ Instalier Address dType of Building Size Lot-__--____•--_---__•-_---•-Sq. feet V Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) .............. No. of ersons.............__._._--_______ Showers — Cafeteria p,, Other—Type of Building .............. p ( ) ( ) a' Other fixtures ----- ----------••-••---•- •••-- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic 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......................... rzq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' --•---••-•••-•-•-•---....--•-------•••----••--•-••••---•----------•-•.....•...................................•--------•-----------------•-------....__...... ODescription of Soil...........;�and...............................................................................----------------------------•-----------------------._...----•---- x W ------------------------------ ----•-----------------•---........---------.._...........-•••-••......................................................--••--•---••-•-•----•--•---•••--•-------------•• U Nature of Repairs or Alterations—Answer when applicable._....1—h20 1000 gallon area-Se trap. -•---------------------------------------------------------------------------------------------•----------...------------------------------------------......•------•-•••-•••••---•--•-•••--•-•-••-•-••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT: ; of the State Sanitary Code— The undersigned 'further agrees not to place the system in operation until a Certificate of Compliance has bef -issued t Id boar. of heatt ! •g t'°^+ d .f 'va' fir - ,r'd -^2-"-l/p ----....-•-- Date Application Approved BY ��.t. � --� -.- D` �d b Date Application Disapproved for the following reasons---------------•--------------•------•---.....-------•--•------------------------•----.......................... ....................................................-............................................................................................................................. ...................... Date Permit No..........__s1..:_...1.._ .. ........................ -..... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Torn Barnstable ......................I........OF..............................................................I........ ...... UTrrtgfiratr of Tontplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or RepairedK} . J.P.Macomber at by ---•----•-••--•-----•._.......••------------------------------•---------•-----•.•----••--•-•......••------•--•----•-•...--•-•.......--•--------•-----•--•......--------...._...-- 628 Main Street Hyanni S Installer -•-------- -------------- ------------------ .--•---- has been installed in accordance with the provisions of TiTYr j of The State Sanitary Code as described in the application for Disposal Works Construction Permit \To....... -0S. .�.3........... da.ted_._._._ ............................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... -3 G, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;,'owxn Barnstable Q _ ..... .....................................OF..................................................................................... Disposal Works Tonotrttrtion rrntit Permissionis hereby granted----------------------------•--.....------•-----•••---•--------------•-••••••-•-•••--•••-•••--••••-•-•--•--•.....--------•---------------••- to Construct ( ) -or Repair ( ) an Individual Sewage Disposal System atNo..............................................................................•----•---------.........................• •-------...------------------•--•-•------........................_.___ Street (7"�____�� , as shown on the application for Disposal Works Construction Permit No_ ____ ____ Dated.......................................... ' --------- ------------ DATE................................................................................ Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS