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Home My WebLink About0189 BREAKWATER SHORES DR - Health 189 Breakwater Shores Drive Sewer Acct# 3668 Hyannis A = 306 - 144 0 LOCATION SEWAGE PERMIT NO• 8 Breakwater Shores 74-117 VILLAGE �f HYANN I S v" f/�/ INSTALLER'S NAME & AD_DR.ESS John A Aa K— BUILDER OR OWNER Norm an Mason DA T E PERMIT ISSUED 3-27-74 DATE COMPLIANCE ISSUED 3-28-74 No.......... 1__. .. �G'Gy t ( � Fsiz 2L.............. THE COMMONWEALTH OF MASSACHUSETTS ROAD® OF EALTH _.. -. ._ OF............... �C Appliration -for Di.ti uiitt1 Workii Towifrurtion Prratit j Application is hereby made for a Permit to Construct (41�or Repair (k"� an Individual Sewage Disposal /��S Ystem at:yyam� .-•�- // nn i / ( 1?r. ._ r?.'gA-Wof Shovel ,vI-; .. .. •. •----------o---'-'+- Qoan-Address or t No i ie •--•-•............• ................. ......•......... ........................ Owner s�1d�drjss //y�� PQ Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms._..--ZI--- -----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................. Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- -- W Design Flow.--.---- ---5 ...........gallons per person per day.' Total daily flow..............�Qp-----------------gallons. P4 Septic Tank—Liquid capacity------------gallons Length---------------- Width--.............. Diameter----------.----- Depth................ xDisposal Trench—No- -------------------- Width.................... Total Length-------...._. --._- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet--..--___-_.-_.-_-:. Total leaching area------------------sq. it. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date---......----------------------------- a 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........................ --••-------• .. . -- --------------------•-----------•--•--------•-•---•-----•-----•--------...------••----•------•-•--....---•••-•----•---•--------- 0 Description of Soil--------- ��`` .............................•••-•....... U ----------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------ W --------------------------------------------------------------------------------------------------------------------------- ,( �e� ------ U Nature of Repairs or Alterations—Answer when applicable....._o. "e-------------------------oe./ f 0'V-e J&W -•-•-•----•----------------------------------------------------------------------------------------•---•-------------------------------------•--------•---•------------------------------------------- Agreement: , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the boarZI of health. Signed.. ----------•---------------••-------•••--•••---------•-•• --'3------- ------y r Date Application Approved By.... - at Application Disapproved for the following reasons:..................................V........................................................................ --.....-•------------------•-•-----•---•---•-•---.....--------------•--...-----------•-••--------•------.-----•••--•----•-------•-••----•------•--••••--•------•-------......•--------------...-•---•--- Date PermitNo......................................................... Issued......................................................... Date No........ . Finc 2 .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ............... Appliration -for Bhipviial Works Tonstrurtion Viermit Application is hereby made for a Permit to Construct (V-)'or Repair an Individual Sewage Disposal System at: .................................................................................................. ................................................................................................. "y,Lo cation-Address - or � o.t N X ,V4,r4,4,,a ,P- 's 4 to Jr' 4*/ .................................................................................................. ................................................................................................. Owner Add ..........-------------------------------------ft............... ........... ................. .............. 3 .7�........................................... Installer Address Type of Building Size Lot----------------------------Sq. feet U 3 Dwelling—No. of Bedrooms----- ------------------------------------Expansion Attic Garbage Grinder a4 Other—Type of Building ----------------_--------- No. of persons---------------------------- Showers Cafeteria Other fixtures ----------------------------------- ------------------------------------------ ------------ ------------------------- Design Flow............. ------------- __.._______gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width..__.._...._.. Diameter.:______-_-__ Depth---______--- Disposal Trench—No-____________________ Width____-___-__________- Total Length______--__--____-__ Total leaching area---------_---------sq. f t. Seepage Pit No_____________________ Diameter..__.__.._........._ Depth below inlet......____.__._._... Total leaching area------------------s(j. f t. 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-___________-__-__-_-... �14 Test Pit No. 2................minutes per inch Depth of Test Pit.-_--______________- Depth to ground water------------------------ 9 ............. 0 Description of Soil - ;( .............................................. .................................................... ---------------------------------------------- x U --------------------------------------------------------....................................................................................................................................... ----------------------------------------I--------------------------------------------------------------------------------------a---------- Z ----i------------------------------ U Nature of Repairs or Alterations—Answer when applicable-------R�V.'t_- .- Z��----- '� ----------------------------- ..;,iv------------- ....... .. ...ir........ ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 been issued by the boar A of health. t Signed-_.._: 7 -7 y le Date Application Approved By----- w _. ; _ el ,...... _ .-12/7 Date Application Disapproved for the following reasons______________________________________ ----------------- ..................................................... ..................................................................................................__................•.................................................................................. Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.... ........................................................ mwWrtifirate of TIMPHaurr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired b ..................................... 1�7' y ...................................................... .............................................. Installer at...................... '4�'6'1e!c�............ ------------------------------------------ .. ........................................................ has been installed in accordance with the provisions of Article XI of The State SanitaryCode described described in the application for Disposal Works Construction Permit No............... ---7............ dated_.. ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FYNCTIO SATISFACTORY. I DATE----.. 2 i�--/..2�7. �............................... Inspector.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF. No.---- .............. ................ ...................................................................... FEE-2- ............... RnV�tial 14 i;7 Iv-,' 9, Permission is hereby granted------- ..................................................................................................................................... to Construct (6-) or Repair an Individual ,Sewage Disposal System at No..........? ..... tol f......... e ................................o. I.......). Street as shown on the application for Disposal Works Construction mit�d Dated ---- -------------7./-/ ....................---------- --- ----- Board'of Health DATE =.....7j/ '---;----- FORM 12!55 HOBBS & WARREN. INC.. 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