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HomeMy WebLinkAbout0055 BASSETT LANE - Health to i ASS Basset} ']Laape 3' it A =.308 '071 �J e oe o 0 o v o o vo o o tea: THE COMMONWEALTH OF MASSACHUSETTS OOARD OF HEALTH J(�6 .. ..T.wn.... Barns table r .......... e.................................................. or t� al Works Tonstrnrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: Nart .....Yannis. ..�--•--02501.......-----•---•-- -----••-•-----.....--••-•---.....--- Location-Address or Lot No. Shawmut Bank of Cape„Cod._N,A.,,,,__„,,,,,,,,,,,,,,„ Narth Street,__ Hyannis ,MA 0260i ................ -- ._.. ..... ... .....................•• Owner Address A & B Cesspool Service „ „ 128 Bishops„Terrace, Hyannis, MA 02601 Installer Address d Type of Building Size Lot------- ------------------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers Ga YP g ---•--.....-•--•---••---••-• P ( ) — Cafeteria Q' 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 ( ) ►-' Percolation Test Results Performed by--•-••-••-•••••-••••-----•--••-------...•-•••---•-•----•••....---•-•---- Date........................................ ►l Test Pit No. I................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........................ �+ ----•-•--•-•••-•••••••----•--•---•••..................••-------........--•---------..._----•-................................................................ ODescription of Soil......Sand....................................................................................................................................................... W UNature of Repairs or Alterations—Answer when applicable-----installation.--of..a...1,.Q0O.-gallon,...nre-Cast ..atone...packed..leach-•Pit,.(.oiorfl aw)........--•------------------••--•------------------------•-----•--------------•--•-----•--------------•-----•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 V th boar f health.. Stgned� % -�L ( .... .�`- ?�_ s�. J/9V$11 •84 ----........ Da e r Application A r ;l PP PP • . •-------•------••--•-••••••-•................•---•-----•-----------------------........-- ............5/Q4 'Y. Date Application Disapproved f t following reasons:.............................................................................................................. ........................................ ..... ...-•-•-•------•--........----------•-•-••-------........----•--------------------••-•-............................................................... Date Permit N��L...........--•-----------------------•--•----------_. Issued....................510y1 ................... Date . ............................................................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............T.own................OF........Bamstable................................................... Trdifirair of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired (X ) by,,,_,,,„A & B_ Cesspool-Service. 128 Bishops Terrace, Hyannis,,,MA_---_02�01 ...................................•. - Installer at. North St.......Hyannis.:..M......02601 - Shawmut Bank of .Cod,---N•A. has been installed in accordance with the provisions of TITLE G oLj The State Sanitary Code/was/ described in the application for Disposal Works Construction Permit No.8�4-_3 7................ dat ........�1�i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE-THAT THE SYSTEM WILL FUNCTION SATI•SF � . DATE.......... s..... ..... ........ Inspector...... ..-••----•---------•••....--•-•-------------.........-----..---- THE COMMONWEALTH OF MASSACHUSETTS i -• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................Town.......OF..........Bam table ..................................................................... Appliratinn for DhipaaFal Works Tnntrnrtiun Upermit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: Nrka..rea.. Y. 13} 021601 -.......- •ty Location-Address or Lot No Shawmut Bank..of_Cape Cod, N.A. Ncth Strets yannis, r?A 02601- _ ........................... ..... .......................... Owner Address a A-& B Cesspool Service 128 Bishops Terraces Hyannis, MA 02. 601 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) � Other—T e of Building g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------•---------------.........................................:............................................................ 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. 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........................ 04 •-•••--•---•--------------••-•-•-••-•-------•-••--•.......-------•-.........----.......-----•.....--......................................................... 0 Description of Soil....Sand........................................................................................................................................................... x w UNature of Repairs or Alterations—Answer when applicable_A5S.t&1 a.+,tom..of--a-.1,-000--�allonl.•pre-Cast atone---packed__leach.-Pi-t+-(.o.wxflox) ........ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 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 t boar f health. Application App -----r ------------•-- ---. 5104 ' 'Sign Date Application Disapproved f` following reasons_______________________________________________________________ ..................••----------------••........._--•-•.•-•---.------..---•••....••••--......................••.•• ............................. Date Permit 10.7............... Issued ----5.04:��!:............•-•-••-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............T.W.A..................OF.....Aarn stable..................................................... T rrtif iratr of T ampliFanrr THIS IS TO CERTIFY, That the I dividual Sewage Disposal System constructed ( ) or Repaired ) by------- A & B Cesspool Service, 12� Bishops Terrace, Hyannis, MA 02601 ' ns a ll at.....Noxth.St., Hyannis , MA 02601 - ShawmIu� dank of Cape Cod, N.A. has been installed in accordance with the provisions of � TLE . 5 o�The State Sanitary C��described in the application for Disposal Works Construction Permit No.........., ,1..................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE 84 5�04� --------------------••••-............... Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T ocrn.........I.........0 F......'.sarnstable ............... . ............................. . . ...... 15.00 No... ... .... FEE........................ Dispaii al Workii. Onntrurtinn Permit A & B Cess Service Permission is hereby granted -- --- ------------- ?...00l ----•-------------------------------•--•-----------....------....-••-••............... .... to Construct ( ) or�Repair (X ) an Individu Sewa a Disposal System at No..........North St., Hyannis, MA 02 01 - Shawmut Bank of Cape . Cod N.A. .----••...............•---------------------------•••• ----•-..... •••-•---•-••-------••--•--•-••--............ Street as shown on the ap icat• n for Disposal Works Construction Permit No.. .. .......... Dated................�°.��............ Board of Health DATE --- --- . •-•• -• FORM 1255 A. . Sr LKIN, INC., BOSTON 1' LuL;ATI ON PE ! d SEWAGE PERMIT•NO.. VILLAGE Hyannis, MA 02601 �0 A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER Shawmut Bank of Caps' Cod, N.A. North St.; Hyannis, MA 0260i DATE PERMIT ISSUED k 8 ' DATE COMPLIPkCE ISSUED i ; rot 74 ol i } 1 �.� ro�gAr l.tTA4Lk 1�'h ----------- MUST CONNECT 40 TOWN SEWER THE �dgaw AVAILABLE No.---�------ TO �. wo OFFICE OF THE BOARD OF HEALTH •0 '� OF THE BAB89TABLE, o TOWN OF BARNSTABLE,. MASS. y MASS. O i6 3 9. � � °MA,( A, SEWAGE DISPOSAL_ RMITQ� Permission is granted to to to construct Upon the Premises of ` �`ta'�`�` L - 3� C' ��� rstch-eD �, 9� ---------------------- -- - -- -------- ------------------------------------ �✓ In the village of i � p --- ---- -- -— - -- - -------------------------------------------------- 75 or"r�nore feet f m any source of water supply 20 feet`from building 10 feet from property line 1 0 ' Health Officer. —1 No. FTHF T 'OFFICE OF THE BOARD OF HEALTH OF THE ® B9HHSTALLE, a TOWN OF BARNSTABLE, MASS. . y MASS. ADD MAY �\ R� } �-- SEWAGE DISPOSAL _PERMIT Permission is granted to '_______�____________-? ____s __ __` to construct `___ _�- M_—___—______ -- -------_------- Upon ,the Premises of �, ' �R <: ! Skrtch In the, village of .75 or more feet friprp any source of water supply 20 feeNfrom building _ -.���� •� 10 feet from property line Health Officer • --�------ - r razardous.Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists Working Phone Number NQ � 0, Nn � orti2; �� Actual Amounts -( ie. gas being used to fuel machines, thinner to ­q.r�- ' clean brushes all count as hazardous materials) Storage Information -location of storage, how long is storage for? f none, note that., Dis posal Information -where and who? If none, note that. (Z pplicant Signature - understand what is listed and noted Staff Initial -any questions, know who to ask Vehicle Washing/Rinsing? - provide a vehicle washing policy and explain it - note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them.