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Home My WebLink About0284 BISHOPS TERRACE - Health 284 Bishops Terrace Hyannis, '1�t'i�'-- -A=251'' 166 fl e a ASSESSOR'S MAP N0.s2f)j—)6(o PARCEL LOCATION \ SEWAGE PERMIT- NO- V I L L A G E INSTALL NAME L ADDRESS tit wl i 1';=,S s U 1 L D E R OR OWNER DATE PERMIT ISSUED DATE' COMPLIANCE ISSUED x o o 0 c� a c� `J— U O J . S a o z � W w I f'P ; s No.. ........-- ....... Fizz... y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ZgSF Appliratiun for Disposal Works Tongfrnr#iun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System.at• \\ ([' Location- ddress `.� ..........................................................or Lot No. ............... ..... _�. �»»._..A.=.t. w y--•-• ^•-- ----•-••------- y—T !fi ....... � �p caner AddressY a -- —Installer Address Type of Building Size Lot............................SQ: feet g— --------- p ( ) ( ) Dwelling No. of Bedrooms_______ ___________________ .__--Ex Expansion Attic Garbage Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ---------•--------- ------- W Design Flow..-----�..� �.� ...................gallons per person per day. Total daily flow...... gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width.................Diameter-----........... Depth................ Disposal Trench—No_ ____________________ Width.................... Total Length............+...... Total leaching area....................sq. ft. Seepage Pit No.........�---........ Di a eter.....�-Q-6 _--- 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........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 ----------------------------- --------------------------------------------------•--•-----•-----...---•------...--•--...----------•----•-•-••--........_.. Description of Soil........................................................................................................................................................................ W V .._..---•-•-----------------------------------------------••------------------------••----._....-----••----=------ W U Nature of Re airs or Alterations—Answer when applicable--_---�1QQ-.-...___.�g._---._.__.`. ............... --w_P Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'll, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc-� een issue he�boargl Signed. . ------------ -- - ----- � Date ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons-------------------------------------••------------------------------------.•.--------------.._._................. ...................................................•---------•-•-•---------------....---......------...7..-...----------•-...... •---------•............................................................. Date PermitNo......................................................... Issued....................................................... Date NO-6................. FEE............... ....._..... �. THE COMMONWEALTH OF MASSACHUSETTS _ C BOARD OF HEALTH ...._:..................OF... tiy.•wSil. �t Appliration for Dioposal V arks Toftotrftrttoft rri tit ' Application is hereby made for a Permit to Construct ( ) or Repair (�_-)-an Individual Sewage Disposal System at•.......... :r`:\............. . . ' `Location-Address orLotN,o. Owner w .1 Address ,.a �..... �:i��_.�____.2 3»5. --••-•-•---------------•---•----------.. 1 :`� <.�7 ors _.!. S' p? Installer Address Type of Building Size Lot...........................Sq. feet �+ Dwelling—No. of Bedrooms......�_______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .............................................. ...... Desi Flow..__.....:„ • WW gn �. '___________________gallons per person per day. Total daily flow____._.__.��..>____?�__�_..- ____-•gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter__ -------------- Depth................ Disposal Trench—No_ _______________ __ Width.................... Total Length............. Total leaching area....................sq. ft. 3 Seepage Pit No..........$----------- Diameter...... _0�_.... Depth below inlet....�...____... Total leaching area..................sq. ft. M Other Distribution box (�� Dosing tank ( ') Percolation Test Results Performed by--•_________________••---__....•--•••-••-•--•••-••-------••__..:_•••-•-_. Date_.-----...._••----..... •---•-•-- � Test Pit No. 1________________minutes per inch , Depth of Test Pit......_............. Depth to ground water..._.._.._.:__._._.___.. f: Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Chi ------------ ------------- •------------------------- Description of Soil --•-------••--•••--••--•-•-•----•------•-•--•---•--•---•-••-------••••---•-----•-----•--•-•----•••-•-••--••--•-----••-•••-•-....._-••-••-_••-••. V ..................................................... --•--....---•-----•--•-----•--------.___-•••••--•-•-----••__..:. W U Nature of Repairs or Alterations—Answer when applicable..__.___l4_an..._._ lTD Pt�- ww -�-------•......:.... ........... .. - a Agreement: ••••-••---••....----•...................... a.l The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT:.f', 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`bthe boar of health.- __. C Signed----------- ._'° _� Ct- > ✓ ? Application Approved Bya••--••••••--•--••-••----••--••••---- Date ....................Date _...__••..•--•----•Date.................... Application Disapproved for the following reasons____________________________________________[ ---...--•-••--------•••---------....-----------------------•---••----••---•-•--•---•--•-•-•---•----............................... Date PermitNo......................................................... Issued._...._---•--••-•• ---•--••- ' ---•...... Date ................. --- THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH l � ....4 \_ .. '1....OF...........6a-..f....!5� .f/S. G:�6! e .......................... Trrtgf iratr of faontplittftrr THIS IS� GAR-TIFY That he Individual Sewage Disposal System constructed ( ) or Repaired (Gj by ...-__... t...... -•-•••.....•---•••-•_...• ------•---••---•-------------------•-•--._...._..... ....-••-•-..._•----....--•---•--•----- •�-.�-C, ` •„-•Installer at._.._... ' Fla-�"_!f S ` ............... v``- has been installed in accordance with the p ovisions of TITL; 5 of The, State Sanitary Code as described in the application for Disposal Works Construction.Permit No......................................... dated.................................' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION .SATISFACTORY. DATE.......... ( (:.1 .... .......' ..._•--••--••••-- Inspector.. -- y'1'1 ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f3 ...`r`..... OF... . ti-. �. �. . .-� - ....................... i FEE........................ to�rosttl ork � o otritrtion, lirrmit Permission is hereby granted.................. .......... == "y C--------•-----••-•--•----:.._....•-••-----•-••-----•..................... to Construct ( ) or Repair ( L.-�an ndividual Sewage Disposal System / at No......................... - � {_-...._..:.i��i.� i/ _t;.- : --•••------ -A",a 3 j --------------- Street 8 as shown on the application for Disposal Works Construction Permit No. .____�._:{_�.•. D�1ted__-.�"_.__...:_ .rr e ---_--_ � ....................................... (,� '� , / Board of 11calth