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HomeMy WebLinkAbout0063 KEARSARGE AVENUE - Health (2) Cp3 �Cco--ISa/C(C. ANQ . , NCAOnl's �s... . ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH `fad. ............. i; .......---..............---- a ,Z ppliration for Disposal Works Tonstrl lion Prrinit Application is hereby made for a Permit to Construct A or Repair ( ) an Individual Sewage Disposal System at C_*&Q✓v L ..... '• ... - ......... --- - .............. Location-Address f or U LV mus y.. .1Z:.:. �.? _.!`!�...N ).��."� ne — Address a .......................r. - ©- . .......... -•--•-•--•--------•-------.....---...-----•---..............-----................................. Installer Address d Type of Building Size Lot....�29W!.Sq. feet U Dwelling—No. of Bedrooms.... ----------------•---Expansion Attic ( ) Garbage.Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ------------------------•--. _ Design Flow..............' ?�..............gallons per person per day. Total dlaily �ow._.....5-- ._... f allons. WSeptic Tank—Liquid capacity.100agallons Length A!"".. Width.4.-,d... Diameter................ Depth-q'... .... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........I.......... Diameter........ Depth below inlet....... '....... Total leaching area--- oP-sq. ft. Z Other Distribution box Dosing tank ( ) ~' Percolation Test Results Performed by.Z,�_ f _ U.4 .........:.................... Date.__.-4............................. aTest Pit No. 1....:?�'......minutes per inch Depth of Test Pit... -..... Depth to ground water..... .......... Test Pit No. 2.......:.::.:...minutes per inch Depth of Test Pit___................ Depth to ground water........................ Ra ----------------------------------------------•--------••---------------............-------------•--.......................................................... O Description of Soil---- ----' ............... ........ ---.------�525.u-rD.----------------------- al°r ...---•--•-----------•...............•-------------------------•--•-------•----•-------....................................................... ..............-...................................................................................---------0ESIOI`ilNG_'E11YG1WEfi.w%, _ST--31:;: p:`'!S U Nature of Repairs or Alterations—Answer when applicable.______ : NSTALL-A fIOU-AND-'CM-TIFf--BN'Y"lf Ttt�lr....-----' ............-................................................................................................... Agreement: i r�E--�'YSirEivl"WAS"6R}.�i4�'.',�:Ef�--l�--S1��11C�......... ACCORDANCE TO PLAN. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code— The n ersigned further gr not to place the system in operation until a Certificate of Compliance been issue ' 'y oard of health. Signe .......... p� e Dat . Application Approved B l�1 ._. /., ', �� ate Application Disapproved for the following r sons----------------------------------------------...................................... ..•-•-•-••••--•-•.............•••....--•------•--•---••-••.....•••--•--••-----••------.......•-•••-•----•'--•.....------••---•-•-•-•-•••••--•••••----•••--•------•-•-••--•=..............................Date PermitNo................................1--L ct--........ Issued-------------------•------------------------------------ Date PIP No.... FES... A........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appiiration for Dispoiiai. Works Tonstrnr#ion ami# Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: c-n r� cs,r✓ kv �-� .................••j......-•--•--- -•-•.......... ............ .... ---•-••........................-•-- Locati n-Address_ P'_ 1Z . ::?`7Da V(1 .. " 51 1z 1 ---------------- Address a •--•............. -... --.....•--•• -•-•..........•......K=. .---...._ Address Z coo Installer Address Type of Building Size Lot.............1.___._______.Sq. feet Dwelling—No. of Bedrooms......... ..__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other, fixtures --------------------------------------------------------•--------------- Design Flow..............4z T..............gallons per person per day. Total daily flow......_: _`-'__--_.= ..�=t.,I ions. WSeptic Tank—Liquid capacity..121?�2gallons Length.::.5./--_ Width.f _'O" Diameter................ Depth_.:! ..�' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..__........_...__..sq. ft. Seepage Pit No.........J.......... Diameter........ ?......... Depth below inlet....... �._..... Total leaching area... .sq. ft. Z Other Distribution box ( h ) Dosing tank ( ) _ Percolation Test Results Performed b ._.�p.�_ �.' -- �_. �^ Date aY -•---- -- -•- •-`�------•----------•--•------------- ----•--f-- --.....---------••---•--- Test Pit No. 1...... '_____-minutes per inch Depth of Test Pit-------- Depth to ground water..___!v............... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a _-------------------------------------------•--•-------_...-------••-•--------•-•••......---.--•.-•......----•-•••----•-----•---•---•---••-••......---.•..-- D Description of Soil----. :ntx "' i \iv\-rv4........t_ r ` 4 ••-----------•---------------------------•---------.....-------------•--------•-------------•-----...---------•--••----............ W ------------•--•-----•-....-•••-•---- 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 TITiZ 5 of the State Sanitary Code—The ri rsigned further r not to place the system in operation until a Certificate of Compliance been issued y t and of health. Signe ....c ` ------------------- ------------- Application •---•-------- at i i r l A 1 cat on Approved B ��.[ ---------------•------... ...... --.. .............................. _...-•.,�---------- ----f� - PP PP Y----•------ Allieation Disapproved for the following a sons----------------•-----------------------------------•-------------. •--•-----------..._ .......----..... -•........................................:......---------------------•--•-•------........--------•---------------------..... ------------------•----------••--•••-------•--•--------------•••-•-•--- c Date Permit No..........-.. ........----- - --�-......... Issued....-• -•--------•-•---------•-------- ------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................O F... ......':�.......�......'....... ...... Trtifirate of Tomphanre ` THIS_LS�T,,..Q ,Tp, ^Y,Ibart the Individual Sewage Disposal System constructed QL) or Repaired ( ) ti J by = .•;�_. .. . = tA...•-••----------------•-•••....._...-- _ ....-----------.....------------.....-------••--.......--•••- In!talje ` t {{ raz has been installed in accordance with the provisions of T • I,E 5 T e Se�?teriitary Co�g as described in the application for Disposal Works Construction Permit No... ._u'.. _�_.."1_ dated_...-_1__l ._-..7..-L�._ --_._-_-_--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................:........:.................••••-_-_.. Inspector........................................................._.......................... /OTHE COMMONWEALTH OF MASSACHUSETTS (� BOARD OF HEALTH ) � J (�.......[....... FEE........................ _Permission is hereby granted.. - '� �_(..�_.`.. ....•.-� to Construct or Repair ( ) an 'dual Se� ge.Dis osal S em at No...�..�1.�. � -._ L. \C? ..... - P t ...... . Street as shown on the application for Disposal Works Construction ZPrmit No _.�__-..).�. ted.._._.:../_._�... .M ---.... ... vla" ----- ............................. =� r '—a Board o ealth DATE........... a -'- . � .... FORM 1255%`HOH.BS & WARREN. INC_ PUBLISHERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering August 20 , 1987 Town of Barnstable Board of Health P .O. Box 534 Hyannis, MA 02601 RE: Lot 1B - Kearsage AVE Hyannisport Gentlemen: Per the terms of the disposal works construction permit, I have inspected the installed septic system at Lot 1B . The system has been installers in accordance with the approved plan. Very truly yours, e2=t-- 4916&� Peter Sullivan, P . E. Baxter & Nye, Inc. PS/fmj P"TER . SULLIVAN L i No. 29M �SjONAt E MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSEMS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS G 2A6E � a DWELc-rN6 co, OA s� J - AIA �6 1 Mr 73, d 1 49 .!`� a_ i xt �!8 /7 L O T --� '9 -1$ , 0 , h.ES'/c /Ll L.::)47t� L E�r1GN /T,C/SE Zj� GdL. 1�v /�. .�'��Or��r•%.c�rsv/Tc:� ' /5 o s,� X Z ,s' _ .��S6,i- 1? �.'�.• � �'v� - �'- ,air Z.yi �,a-• �,�o� _ . , /� ,,.oc ��. ,e,�sE'� W,mac. W'/4�� �Y e .• �. 9 JAI ►�o���,�,��� ..5�'.Q�' ,cfs .�/©�^--� �.�-7"�,' yn�_,.�t:.",�►„e �- / cod No .S�!/��7G����/ �4'f/,I��/.S ��i�•y'� �`'�? '�``c.:.�0.`": .t'.,,.P'�' �"� /�j%S`..5�. T�L�-s/L'�•'cU�s/� .e1i�/.�-r�r,.R��C ��1�. ��tt OF 414 _ J lJL__J t v SULLIVAN N0. 29733 " r �S��0ONA 4 yH'��v 1 j �tt I' { c� �E � 1 i S r y i 4 ,,: �.. rsy �� �a ! _ _.._. _ ___ 1 _ _ � J