The URL can be used to link to this page

Home My WebLink About0206 GLENEAGLE DRIVE - Health (2) ao� c(I�eGGIe V ' r Fss .................. THE COMMONWEALTH OF MASSACHUSETTS pfl 94 BOARD HEA T , .... .oF.........- ....... Appliratiun -for 43hipooal Work.9 Towitrurtion Vaniit Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal syst at: ---- . .. --- ............................................... - --- -------•---•--••--•- A ress C or Lot N er Address a ---------•---- -- - - - - --P------------------------------- ------------- --- - -*-L .....4- ---------------------------------------- Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling±�`No. of Bedrooms--------.... -_-_-Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) Q' Other fixtures _______________________________ __ W Design Flow............................................gallons per person per day. Total daily flow.__.._.______''�°:"_ ....................gallons. WSeptic Tank—Liquid capacitv?l_47®gallons Length................ Width_.............. Diameter---------------- Depth._.-_---_.------ x Disposal Trench—No- ____________________ Width-------------------- Total Length.................... Total leaching area...............-----sq. ft. Seepage Pit No--------7t________ Diameter/000.-r_f. Depth below _inlet__ _______ _____ Total leaching area------------------ ft. z Other Distribution box ( ) Dosing tank ( ) 0 — ;-.$- ^ Ti-Percolation Test Results Performed by----•--------------------------------------------------------------------- Date-----_------------------.--------------. W Test Pit No. 1----------------minutes per,inch Depth of Test Pit-------------------- Depth to ground water.------.--_-._._--_..... 44 Test Pit No. 2------_.........minute s per 'nch Depth of Test Pit-------------------- Depth to ground water.....------------------- ----------- x D scri ion o Soil,— :� ^�� 1--...... .-. -e_�4.. ... . - ,=��- -----_= ` W --- -- ---- - f -2- V 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issued by of health. Signe --- -- ---- --------- -----•-• ------........................................ Date 00, Application Approved By----•--- Date Application Disapproved for the following reasons:----_•-------------------•-_----_--_-----------_-------_---------___-_-_------------_-__------------_-___------- -----------•-•--•-•-------------------------------------•-----•-------------•---•------------------------•-------------•--•-•-------•--------------------------••---- ----------------••----------_----- Date Permit No......................................................... Issued.....77 I J " 27").- ...... Date No............... Fas`/.��................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEA�LT , pphrtttion -for 'Mipoottl Worko Totimrurtion Veroiit Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst9m at: J�•1y �L:7_`'_. _rr.. !.P.._.. - R ------ ----------------------------------................::` ........................................ \ - a—tion-Address y or Lot No. ............ ., +2 r ice_�.e. /J/ �✓A._ ,. y7/1/f dice/ a . . ((Owner / � ..- .. Address 1f � ............................................................................................................. �..-•-•---------•-••----•-•---•---•• -----`------ ' -•-•--------•-•--- Installer Address UType of Building // Size Lot............................Sq. feet Dwelling o. of Bedrooms------------51___________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacitv'1-_r 0-_gallons Length................ Width------"_-..__.. Diameter---------------- Depth---"_____"-"-_- xDisposal Trench—No-____________________ Width-------------------- Total Length.................... Total leaching area_.._-_______-_-_____sq. ft. Seepage Pit No.______--_________ Depth below inlet__...___`;....... Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) hJ - /J--- aPercolation Test Results Performed by__________________________________________________________________________ Date---------------------------------------- ,a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_-____--_--__-__. -... rZ4 Test Pit No. 2----------------minutes p inch Depth of Test Pit.................... Depth to ground water__"________--__-____-_._ G r r 1 £__!`-----------------•--. ...� d - Description o Soil i s�'!. f _----_{__-. 1. -4-A I/l �---- --------------=-- ---- �`--�- - �F s � -� �Gy��/ • VNature 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by-the•boar of health. Signed:- -•---w>.`,,.� �c--� ,M1 ___i.................f._._.____-_._.__.______________________________ ................................\ Date Application Approved By..- .d'l ___-•-----�%��__ - ,r - , '_r,? :..... Date Application Disapproved for the following reasons:................................................................................................................ ---•--------------------•-------•----------------------------------------•------•------•-• •-------------•----------------•--------•---------------------•-•----------•-----••--------------------__---- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OSf HEALTH - .... �.. ..../ ..........OF........... ....✓. ......... r-.................................... �prtifirttte of f�omVlittnre TH�Sj IS T CEgTIFY, That the�ln ividual Sewage Disposal System constructed (Repaired ( ) --- *�= ------(M_....->v ....------- ------------ =' ---------Z----------••-----^------------------- ............................... In! ,! has been installed i accordance wiCFt the provisions of �trtici e XI of The tate Sanitary Code as described in the application for Disposal Works Construction Permit N _.,. -------------- dated-. :n ------7_:1 ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION S7 ISFACTORY. Cam' J a. r DATE v .....................................--- Inspector__. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 'EfEALTH J /� No............ �---� / FEE �i��o�ttl Z,94 �T, Permi Sion is he eby granted_._..._..._ / __ to Cow ct (/ ) or Repair ( +) an Individ al S wa e Dispfo al S.y fem T j /� ... at No �r '3-7---r"� r �/I P t` / ----- 7. I/ Street a_ (A (� as shown on the application for Disposal Works Construction Per :N o._-__ ____ `ted__`--_-__-__}_ ................'._7S.__. -•-''�--�=- ---�- Board of I�alth --------- DATE ._.., ------------------------------ ------------------•----------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS rn 7 0 3,.s"v 1//11� �� a�y D o'7►r � S t<ov a,/ ' � / �C �"/d7 3 c 7— '..w-...—. J /17 x r �i a J i'. N2o` _ 1,3 `t I I CERTIFY THAT THIS PLAN SHOWS THE ACTUAL LOCATION OF THE STRUCTURE ON THE LAND AND THIN IT CONFORMS WITH THE BY-LAWS OF THE TOWN Q PLAW. OF LAND IN N7 C- t V MASS. OWNED frf VH pFMAS .:�N pE ��\ FRANK CONERY 5 TRENTON S'T. r- .4 a 4.c A ' v /02 o i �J,4 HYANNIS, MASS. 02601 FRANK rn FRANR ENGwAMa a LRN0 SURVEYOR IL CONERY y CONERY ll No. 6573 O 2 No. 623 o A SCALE I IN a20RT. r FnrFGISTG%��,�t'/ FCC rt(x"Q ��t ,