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HomeMy WebLinkAbout0111 BREAKWATER SHORES DR - Health _ 0 e i a 0 a L0CATION SEWAGE PERMIT NO. I i r8� �ay�� � �s f�Cc� `;d3 VILLAGE zgjr I-NSTA L L E R',$L, NAME & ADDRESS BUILDER OROWNER 'DATE PERMIT ISSUED DATE COMPLIANCE ISSUED '` nr Tr Eg. WITH AR 'V' , rL�FLI $� SAN1TgRY CLd S gTSN�E REG �TIC)N T � No.••29.-_.. .. Fics... 5. oe......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF Barnstable , Apure#ion for Bispootal Works Tonstrnrtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: flit B ._.... ......_. Mary Summers Location-Address Breakwater Shore Dr. , Hyannis, Mass. Sho�e6 �9r. , Hyannis, Mass. ... ..... ............ ..............------ -------- - ......---......_. A & B Cesspool Se:PVTce f......_ 128.Bishops Ter Cle , Hyannis,-:..Mass. •----------------------------------------•-•----•------•-----•......-•-- . ---•••-•--••--.........-•--•.........•----------•-••--•-•--•-....... Installer Address Type of Building Size Lot............................S feet Dwelling—No. of Bedrooms........4..............................Expansion Attic ( ) Garbage Grinder ( ) a'_l Other—T e of Buildiil ___.... No. of ersons...___.._.�________________ Showers — YP g •-----•-••-----•----- P ( ) Cafeteria ( ) dOther 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (s, Test•Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W --------------------------------------------------------------------- ................ O Description of Soil--••--....--•- `.'nd------•----------------------------- x W x --••--------------------•--•-----------••----••••••••--••--•--•-•----•-••---•--••-•--•-••-•-•-•-------•-•-------•----.._...-----•••-•----•--------••------------•------•-•-......-•••••--•----------•--- U Nature of Repairs or Alterations—An wer when appicable._--Instdllation of a 1,000 gallone Stone hacked leach.pt___ oyerflow . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL.E 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 Vthe bo ofalth. ...... .... ---•---------------------------------------- -----2-1-5-4- 9---------- Date Application Approved By..... ...................1W2/-5��9 Date Application Disapproved for the following reasons: - ...... .................................................•---•--•---•--••--........._...._ L .................................................................................•__•_-_•____..__....._...._. ..__n ................. '�.------------------••-----•---••-•---•---------------••----...Date Permit No. 9....--••-------...--•------•-------•----._...... �. Issued.........2/5/79...................... Date THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH z t ..*.�:. Town Barnstable __............ .. ....OF..........................-----.......----------.........----........_.................... ppliration for Dispmal Works Tonstrurtion rrntit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: Breakwater Shore Dr. , Hyannis, Mass.. ----------------------.-_...........--..........._.............................-.............. - •- .......-...... Loca*ion-Address Mary Summers Breakwater ShofleV re , Hyannis, mass ......................_.__..................----------•-................---------•--............ --•--.....-----------•.......................------.......--•---......----------•..........._.._.. A 2. Cesspool Sefffee 128 Bishops Terig8bo dnni__s.j... Installer Mass, . ...... ----•••......................... .... - .... .... ......... -.; Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......4..................................Expansion Attic ( ) Garbage Grinder (` ) 04 ......_... Showers — Other—Type of Building ............................ No. of persons..._..... _.._. ( ) Cafeteria ( ) 04 d 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........................ 04 11 1 •---•........................:......................... .........................•------•---•---....................._.......--•--•------•-•-------------- O Description of Soil--------------sa U ........... - .............................................•----------------------••------- -------•-- ....----------------•----------.....----•:...............------ -_............... W U Nature of Repairs or Alterations—Answer when applicable..Insta11at .oln-f..a... Stone. hacked..leach---oil----(overflow ------------ ----------------------------------------------------------------------- Agreement: 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 undersign5o further agrees not to place the system in operation until a Certificate of Compliance has been issued b ,he�oa lth. .• Sig d _9....._.... /'� ate Application Approved By....... t,..-•-� ._ . ..--•--•--------• ------------ - � �51 Application Disapproved for the following reasons-..................... ..................................................---------------ate------.....-- -•---••--------------------------•----------•-•.......---•-------•--•------------._...•----•------....._....------...__...------------------------------------•----------............................... Date Permit No. 9.........................•-----------....-------- Issued---------221-5/9--------••-- ----------•---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To n OF stablyo ............... .......... ............ ........................................... Tnr#ifirate of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by.A..&-•13...0e.sg0.Q3••-19Ar..Via R. 1.2A.-1 110ps...TeTTA".r.. ----------- Installer at..$ elk t k� e s fir.. ,... y .a• 0 .....�.....m yy....Summ r__�s_... ------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the t application for Disposal Works Construction Permit Nod .-.......1. '................ dated......1l51_ 9_........._..._._........ THE ISSUANCE OF THIS CERTIFICATE SHALE. NOT BE CONSTRUE® A G RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - t z� 77 DATE.. ...... 4 ............................................... Ins pector ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `7I / ..................Town...........OF.......... rna qb1 e.----------................................ $5,.00 No.........:....tt • FEE. ..----...... Disposal World TUan#.rnrti.on anti# Permission is hereby granted..!k._A..gessjo a '3I t; s �'-2ZV BiGhOIDS Terp.,.Hyannis to Co truct or Re ><r a Indivl Sever a D's, osal System reaiw for .® e fir. , 'y�nn s. . !9,ikry Summers Street as shown on the application for Disposal Works Construction Pep 't N ..:9-___ Dated...?t5/79...................... x :. � ----------------��5�7� Board of Hea DATE .........---------------------------............................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS _ r _