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HomeMy WebLinkAbout1405 HYANNIS-BARNSTABLE ROAD - Health r 1405 Hyannis r Barnstable Road 3j nstable'x Xi l" L U TOWN OF B NSTABLE . it J. LOCATION C� d:i� t � SEWAGE # VILLAGE i f��l� ASSESSOR'S MAP LOT - O D INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 6� LEACHING-,.FACILITY:(type) L /4 6-t (Size) El NO.OF BEDROOMS -3 PRIVATE WELL O PUBL -y WATER r' BUILDER OR, WN ,9 i r' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 1 f ill VARIANCE GRANTED: Yes No i /v�UJ NO...TII:'..j.�?,� FES...jb................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH [� � TOWN OF BARNSTABLE Appliration for Uhiposal Works Tonstrurt' a rail a Application is hereby made for a Permit to Construct ( ) or Repair (✓� an Individual Sewage Disposal System at: ----• ocation-Address or Lot No. ...............�._..._... ... ...t................. .................... ....................-- .........._ ............................................... Owner Address -714 Installer Address UType of Building Size Lot............................Sq. feet t-, Dwelling—No. of Bedrooms..�......................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g -------------•-•------------ P ( ) — Cafeteria ( ) dOther fixtures -----•---------------------------------•----------------•-...------------•- ............................................................. 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l................minutes per inch Depth of Test Pit..............-- Depth to ground water.---.................... fX4 Test Pit No. 2................minutes per inch Depth of.Test Pit---_................ Depth to ground water..--.--................. -----------------------------------------------------------.....------------................................................................................. 0 Description of Soil....................................................................................................................... U .... ••....... ----- -------•-----------• -•----- ....-•---•-----------•-•-••-----------••----------------------------------------------•----•------•---•------------------------------- Nature of Re ai or Altera i s—Answer en applicable ----14 O_. .... U P r� PP ¢etz--------------I...----------- ----------•-•---- 1�. r v - ¢' ....--•---------•----------------------------------------------•--------------------------------...---•--....... Agreement: QS The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envirp al Code— undersigned further agrees not to place the system in operation until a Certificate of Comps been issue the board of health. Signed --- .....----- --- ............................ ---- -- ------------- ------ -------...------ -- g - Application Approved By --------------� ---= f ........... -- --......---------- -- Date Application Disapproved for the following reasons- .........--------------------------------------------------------------------------------------------------------------- ------------ j ------......................... -----------------Date------------------------------- -------- PermitNo. - ---------------------_ Issued ------------------------------------------------------------------- Date y r iF �tOi�i�a?°•T THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) Im A DATA No.__ '1 ? Fizz...: :.. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C - r'- 9 Appliration for Disposal Worko Tontrnrtion 1hrnti# Application is hereby made for a Permit to Construct ( ) or Repair (W)'an Individual Sewage Disposal System at: Location-Address or o. Owner Address - ...... A 1��47 la,,). !MO� Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms__-t:�_____________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) � '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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ a p -•••--••.........................•-... O Description of Soil-------...-•--- ----------•- •-• -- - - - --- ......--------------------------- ----------------•---------------------••-----------._......-•------ U --•----------------------------------••-----------••---------------------------------------------------••--------------._...----------------------------------._._...------•------.._._..-------------- ------------------------- -----------------------------------------•------------------•-•-------------- ----------------------------------=------••---• "._ ..... V Nature of Repairs or Alterations—Answer when applicable. +►. }-__/CaU.... .c __--- -'� 040s�nt�--•---------•---••---------------------------- ---....................................................... 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 �`..........._1--- .. _ Dat Application Approved By ....... - ..�-,� �.. \� �-- �'- . �................---- -----_......-.Date'- Application Disapproved for the following reasons- .......................................................................... - -------------------------------- ---------------- ---- - ---- -- ---------------------- --------------- - ----------------------------- -- --------------------- -- --------------------------------- ----------------------- --------- ...............------------------------ Date PermitNo- ............................................................-- -- Issued Date ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE U ErtifiratP of Clontylit nre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by - d '' . z. . ------ -------- -- ------------------------------------- ------------------------------------------- - Installer at ..."...... ... .� ......... --Y.f..1 Y. _."-""""i="."............................."..--"""--""".."..--........................... ............--.".-"""...................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described i.n.. the application for Disposal Works Construction Permit No- "---.� =...1.3..?................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. JV DATE.......................... .............. ---------------------- Inspector ----------- --------.... .."..- '----f�4 �--..._ �.J'.(�,' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 99 TOWN OF BARNSTABLE �i��ro��1 or�� �on�frnnriilan �ernti� Permission is hereby granted__..__ `?` ....... _____________________________________ to Construct ( ) or Repair ( k)�wan Individual Sewage Disposal System at No......../! O .... ..........-91`- Street C� as shown on the application for Disposal Works Construction Permit No.2.2..._�_7 Dated.......................................... ......................................tl_)...................................................... DATE ` •--•• Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS `LO CAT� Ion SEVA P E PERLIlT G0. V ILL "GE `1ZA15 i If-1 7 Op I I93 TA LLEU'S 91AUE b ADDRESS F'1A i0 6T It3 VA9Hour!� 0UILDER OR OCya DATE PECIMIT ISSUED D E COCIPLIARICE ISSUED A T 2.— a--8 L r �n � � l r—,3 ��a ti r ��c 3�,� �, 3q�..�o. .�• f� I'��Iq N a1 P g �i4 R pJ.���b Ia �� ol"............... Fmc............................ • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applira$inn for Bhipoii al Works Tvastrn.rttnn ramit Application is hereby made for a Permit to Construct (k-'f or Repair. ( ). an Individual Sewage Disposal System at: Nq CL n n i 3 i'I --&O,6 ......... �. a.'z'.......... -5 - Y .... ...... ....................................................... Location-Address or Lot No. �e.h. . .. a!}!.e� ... ,�•. g w�. ----------------- .....- .Q. r ............•........ — Address Installer Address Type of Building Size Lot_lo,�..�� .....Sq. feet -, Dwelling—No. of Bedrooms.._..._C................................Expansion Attic ( ) Garbage Grinder (Vo) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ................•---._........-•-------••---•-------...-----------.........------------......_.._..-----•---•--•-•-----•-••.........---------•------•-• W Design Flow..............4-4......................gallons per person per day. Total daily flow............._.....®............._gallons. WSeptic Tank—Liquid capacity/gekt..gallons Length Width_A-'/R_". Diameter-4-'!�"._- Depth_S',6_"_. x Disposal Trench—No. .................... Width.................... Total Length.................... Total,leaching area....................Sq. ft. Seepage Pit No-------- ----------- Diameter......6----------- Depth below inlet....6............. Total leaching area..4 2!�n..._sq. ft. Z Other Distribution box. Dosing tank ( ) aPercolation Test Results Performed by-.G--y�?+.°j� .�!-! --^���._...•................... Date_.!,l !,�� ___.__..__.._.. Test Pit No. 1�_..4--___minutes per inch Depth of Test Pit__!3 ------- Depth to ground water.._ ------ �4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....._.................. -----------------------••-----------....------------------•----------••--•------....-•-•----.....----......---.._......---------..... to . Description of Soil--tl---••••••a=1 ..................................................!��....... ---i4`� U -•--••......••----.... •-••---•••••......--••-•......-- -- . -----------•----------------•-----------------------•------------------------------------------•----•---- -•------•-•---------•••-•••.................. U Nature-of Repairs or Alterations—Answer when applicable--------------------------------------------------------------------------------------------- ...........................................................................................................................------------------•-------------•---•-•-----------------------------------------------•:-------....---------------•-•------............................................. 5 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T 1 p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'Vsdthe board of health. Sig d....... :ALAl ate ApplicationApproved BY= -- - ----------•-•---------••------......---•---•-•••......----•-----••......• --- .•-- ... ------•--•--- Date Application Disappro ed r th following reasons:.-•------------------------•--------------------------------------------.--- .......... i ............................... .......... •------- ------------------ Date Permit No....................................... .................. Issued ............... Date J �70 THE COMMONWEALTH OF MASSACHUSETTS .r" BOARD OF HEALTH �?.nl............OF........ ........t•......'!'...:✓s ......0. ................ Appliration for Elhipoq al Works Tonotrnrtiun ramit Application is hereby made for a Permit to Construct (a'} or Repair ( ) an Individual Sewage Disposal System at: g `... Locatiop.,-Address or Lot No. Me � �0 !✓-� ..... '......................... /4.! !�iwt.....'.'1.Q.a....�.i�_Si_f? ... © l n�r f' Address Installer Address ") UType of Building Size Lot.�4__-_� U_____Sq. feet Dwelling—No. of Bedrooms........�3__--------------------------------Expansion Attic ( ) Garbage Grinder (Vo) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ....---••-------•-•------------• . W Design Flow............... `. . _________________gallons per person per day. Total daily flow_._._..__.._.------ ---�n---_-.-_......gallons. 04 W Septic Tank—Liquid-capacity e?i?A..gallons Length ."A"_:_. Width.Q / .'.. Diameter- �°__...__. Depth-4=W.".. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...... ...:....... Diameter...... ........... Depth below inlet....4............. Total leaching area... ....sq. ft. Z Other Distribution box (-) Dosing tank ( ) aPercolation Test Results Performed by__ Fir+rjeic__ �?�-!'-�!�^�" •_____________•_---_---_ Date._' ? ._.___._._____. ,.a Test Pit No. 1 :__ .._..minutes per inch Depth of Test Pit---!.'.: ...____.. Depth to ground water_-_ ✓�?.^.! .._.-_. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------•-•-----...-....------------.:..........------•-----•-'•-----...........-----..__--•--•-•----•-----'•-•-•---•----•--------- D Description of Soil..:!!2........... .. .... ,„=--------------------------------------------------� -------~s'.wYo........................... V W - -?a- -•----''-i,'"-•-••G�7f,fS �a + 5� .i.!JVartSiG eveA .W4✓ e- -------------------- ..................................................................................... UNature of Repairs o: Alterations—Answer when applicable..............:...... ... .................................................................. --------•--•-----------------------••----------------------•-------------------------------------------------•--------------------------------------------------------------------------------.......--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been u the board of health. Sig d /° � � '1 ................................. te ApplicationApproved By...==='- --�•'' -----•-----------------•-------------•-----•--•------•----------------- n e-------•------ � Application Disapprove f` th following reasons---------------------------------------------------------------•----;--------------------...-------•---•----._._ -------•--------•----•----------- -------- ..................................................-------•-•-•----••------••-•-•---------•-----•--------------------............-- -----•-•------ Date PermitNo......................................................... Issued..................................................... — -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... . %lertifiratr of Toutpliatta T IS S T��,,C� F�Tr�IF' Y, That the Individual.Sewage Disposal System constructed (�'or Repaired ( ) by... ...._..!!I-�. .l:-. ....... --• nsta er - at-•-•kor.. �....... '-'� : ---------------------------------------------•••--- has been installed in accordance with the provisions of TIT > of The State Sanitary Cod as scribed in the application for Disposal Works Construction Permit No- ------- ---- ------------------- da.ted_-,�G_���.f..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /� `"• DATE__... .-.. ..` ..........................:.....• Inspector--•--- `- - ......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O.. FEE ..................... i n 1 nr n nr$ion amit ._Permission is reby granted----- - ------ ---- ----- ----=•----•------------------------------------------------•--------.................-•---•- to Constr ct ( } or Rep an ndivid age D. p System at No.•.A.®-7...../--•..__.._ 1 __ _ C�-t� (,x. :. �----------------------- ,, reet as shown on the application for Disposal Works Construction mit NoOL.4��Dated_!.'.................................. Board of Health DATE................................................... FORM 1255 HOBBS & WARREN. INC,,UBLISHERS 47+ 45+g --_`__----- --- -r4+0� Sl 17.2 00 " Cgs +2 50+ 4-7 +5 /O't 46+5 5o 52+0 D�� 1 P oP0 b T \ +6 O 1 5' , 0 54 '. 2 45 Z_0 7- J_ !qr t ,� . z2 10,300 f f OLD 23A h1ST!-aL�L.. A//V1,S TKO D� TEST _V0L_6s i- -3 7�- w N P 1 uL C. 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I ENV/,EO/`//�E/v TAZ_ COME- eE��sE ` 7=/ 77 A!v� ,.- ca �: , E� v. 3¢. 7 A/O" Gv.4TE/2 ,UL_ T .t BU /T.o/L4 BOA21� O:� .yEAL7N 2EGC/L A T/O//S SEPT/c TA�/C L)/5T,e/3UT/0Aj 50x �1/vC� L`�Cf-i/n/G P/T- TO`/.3E J� �AXtvk OF gg D=S/<<�./ /=L�^ v+/ :3.30 G,G L/D/4Y . E/-A C r1 l n/C> /�A T� 42 CO/vC2ETE S;r/E'E/�/GTN 30c70 BSI FRANK '=+ / M/N. S T�L �ODDO - v No. 29869 t~n '��' D L C/ Cif Fes. 33 0 G,4 /D,4 Y Alf let D2/UEYVA Y./vOT TO 8� LOCAT- D O✓EPE S>/STEM uNLESS H- 20 C! LSE S/G ti `�..4 L�!n!6 i S :J�'�r •� /zZ/ ! SITE PLAN ALL. P/PF� TO�3F Vl/.�1 TE.eT%GNT - _ SYsT�M �� ov Fi2:�3AsE LOCAT:0�/: .Z3/�J CA/,5T.48LE 77-EE S CA.s7-/,C01,,1�,� �,ZE-cAs7- �,Ju Osgf 8 E /NG L�7'" J 4 S SNOWiv,. RA ME �G� /N PLAA/ z300� /3B PA6F- 39 IVA1c� E3 Y BAYSiDL SuleV6Y CORIA 69 MALLOW S7T YAjE �FG.f2 MERC.�' GROwELL k TA Yt D;#_- NJ ,. p j . �� /� 'n t ' � �{ I /// I V .. 4,�`..