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HomeMy WebLinkAbout0011 CAMP STREET - Health 11 Camp Street ' Sewer Acct # 2630 Hyannis A = 327 — 179 r 't I i I I 7- 06 LOCCAAT10�1 SEWAGE PERMIT NO. �� 7 AGIL f Ca INSTA LLER'S NAME ' i ADDRESS /-/() Cs-reS U I L D E R OR OWNER DATE PERMIT ISSUED L _ 36 _go DATE COMPLIANCE ISSUED Got � G Q GNI \� o a � c 0 o �, ti Sr�e�'j l� :.................. THE COMMONWEALTH OF MASSACHUSETTS 4 BOAR® OF HEALTH ............ .._..........._...._.....OF.........................................-----------------------------------...---•---- Appliratinn. for Uiipoiia1 Marks Tongtrnrtinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................. mow. �-�� r:`s-•••-......... ...._....-••••----•--•----.....--------•--- --- • ----••-•-•--•--•--•-•••-•--••----•-....--- Location-AAdress ^1 \ or Lot No. Own Address a v`5 � Installer Address Type of Building Size Lot..../.- 10.........Sq. feet Dwelling—No. of Bedrooms___........�Z_______________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building WQ©(A...____.... No. of persons.....4.Z_____________ Showers ( ) — Cafeteria ( ) P4 Other fixtures ---------------------------------- WDesign Flow............................................gallons per person per day. Total daily flow............:...............................gallons. WSeptic Tank—Liquid capacityZ9!W.gallons Length................ Width................ Diameter----------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----=L----------- Diameter-___'_--_�-_--- Depth below_ inlet.1;?,tJ_..... Total ping a rea..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by------------------- GL' -•------ at Test Pit No. 1________________minutes per inch Depth of 9Teft1st44P4it__-__iY-__.____-- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit__-_____-.__________ Depth to ground water........................ a •-•••-•••••---------•....-----••-••••--.........-••-•-••----••-•-•--•-••--••••------....••-•--...---••--•-------•-••••...................................•••. 0 Description of Soil........................................................................................................................................................................ W V -•-••-•-----••••-••-••••--•••-••••---•.....•---••--•••-••-•----••••---•-••--•••............•••• -•--••••---•••••••-•--••-••-•--•-•-••-•-••-•-- ......................................................... --------------------------------------------------------------------------------------•------------------ ---- ----------------------------------------••••-- U Natur o Repairs or Al ations Answer wh applicable.__ _�_a-S _._ _•. � .�.�_ '�{S�"^!. (, __ �/0 � ----------------- ---------------------------------------------------------------------------•------••------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I p 5 of the State Sanitary Code—The unde ` ned further agrees not to place the system in operation until a Certificate of Compliance has b iss d to oar of health. , / Sig d__ `' ®...gt® Date Application Approved By.... . -�.3® -- ------ fpo Date Application Disapproved for the following reasons:................................................................................................................ ._- !7 � Date [ �• , Prmlt No......................................................... Issued........................................................ Date No.................... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF....................................................................................... Appliration for Uhipoisal Workii Tomitrurtion Vrrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at:C ................................. .................................................................................................. —s Location-44dress or Lot No. ............................... .................................................................................................. lwn Address .............. �4 Installer Address Type of Building Size Lot.....I...C10.........Sq. feet. U Dwelling—No. of Bedrooms...�AP.... -------------------- .....Expansion Attic Garbage Grinder ( ) ;4---- 44 Other—Type of Building � ........... No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacit 2.9-PO.gallons Length................ Width_............... Diameter................ Depth....__.......... Disposal Trench—No. .................... Width.................... Total Length.............. . Total leaching area....................sq. ft. Seepage Pit No.___--........._.. Diameter....'..._i------ Depth below inletJ .....;?jJ:7!... Total�jahing area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( -Percolation Test Results Performed by.................. ....................................... r inch 4) V Test Pit No. I................minutes pe' Depth of Test Pit.................... Depth to ground water..................._.... Test Pit No. 2................minutes per inch Depth of:Test Pit___................. Depth to ground water...-__................_. P4 ............................................................................................................................................................. 0 Description of Soil.................................................................. -------------------------------- ................I............................................. �4 ., .1 `7,77---- ......................................................................................................................................................................................................... U ------------------------------------------------------------------------------------------------------------ ...... ----- . ........................................ U Naturq o Repairs or AlXratlons Answer wh7 applicable -iqN!: �- . . .... .. ... .F R ------------- --- W/1-19P1910 ....�Vaiwti _A.,................................................................................................................. Agreement. The undersigned agrees to, install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLE 5 of the State Sanitary Code The unde i ned further agrees not to place the system in operation until a Certificate of Compliance has iss d t e oar of health. 00 Sig d ....... ..... ......................................... ---- -------------- D t X3 — 124) Application Approved By. 'e5 .. ....................................... Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................................ Date Permit No..................... ... Issued.............................. Date ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 0% HEALTH ................... ................OF....... Gam! ........................................ Turdifiratr of Tilutpliattrr TH, S TO E Tle�That the Individual Sewage Disposal System constructed or Repaired abty...... .........7.. Installer . ........ ............. ........ .....................................5 1.........IF... ... . .. . .......... has een instilled in accordance with the pfrovisions of TIZEA j of The State Sanitar C .de as described in the application for Disposal Works Construction Permit No 4P iW --------44.............. dated-------ly _7_"4 .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -Inspector........DATE.............................. ...... 4, .............................. 7­777-77--:.................... ...........7 1............... THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH r-0, -,/r ,-, . ..........OF.............. : .0-e- . ...................... No(�� .......... ZZalL FEE...."".._........... lhovollaO rka, ortrudion "pamit 0-!t Permission is hereby.grante __,,�---)------------------ e 1 Individual Se. age to Construct or Rep 1 Disp& Syst�t........................... reet ....... ............................ as shown on the application for Disposal Works Construction Pe, 'i' No ...... .......... ........... . . -- . ...... . ------------------ - DATE....... ...................... ........... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L� '�. •R� f ,r 1 1 ,E4 s,4 • '+ �,ar a c r d, o �e. s,q,s' •ry. l .:�a ti 4�+� .+� 2+ *t .. �. >r; '... s w fj!tad c i tf f ;c v. �arty ,V y ;t s �•s^: r t' + April 4, 1�8b r r�'• r ,F'• .._ !' r a, •a' a r a j - Y p .e, .. Y. l Mrs. �Jeannei.te Barrawclough y 11, '',Camp Street` - `. x 4.�Y M.• 1 ♦M .. • ." l il.f' M is. r^ 4 M � �'-t yan MAt � T - 4 :f •l is ," � - �. � � ,�. '"- � -.�s .� c • � , ( - I •- 7(y(dA• *`' yRQr`r. s `"+w."J.m lac too. s ' x a rs`•' �.: �`, !' -'B�e ." ,. �i fir' "Ml a '" Dear 'Mrs. Barrowclough:, `�-r �-w r I l •• .,f' a. fit '�.! j s'' d" W'.-- t' yt ,': -1 a';{ y,`Ir �+ .� C �J.. rOur Health-Insg_`ectcir.,� 1r. Roiaald'Gifford; spoke to YOU on April 4 . regarding :this aubeurfac�+`sewage dispa�al-:at yQur`'*dwelling/,.2or3g ng� S y^1 housQ. It ,willf b® neoess.ary, for; your.to have�;:an;:'enrineer;pro�iS,de `pan and : £. request'a .variance', from "the,,B6ard of °Heal;th, in ;orders to up,,grade your System=t0, comply,w�thf Tim® 5, .o,f 4•the StOtte: Environmental cue'. pY and Town ,o€ Barnstable Health .Requlatlone.f » �. .. ! - r g a � .# ✓q,4 + .a.{s rl- a R �:r t e' o >-a subsurface sewacle disposal `sys�tgmmi calculated `on the number of ~bedrooms the` system �s ,:tv serve. Jt,mai rIit be`neces saxy Eto `cansidsrdiconinu3ng the use of `=the gre3sos.as. _a d. lodging house and use iti as `you= own dwell�.ng r ' •t ,r r 1. • Ag x r�-. i *, ,;" - + ti f i ?� ..., e r•i.�`�7; '6 "/ a ..:r 'lease r call us :if we can' die df t any furtherassistance., s x r r -'�' d � `�f � � rr � dn'n•'..+ 3' d j .. ) .y ) i � � L „!•T#Very, ,truly�youra sk. x s. � , 4 n 'r JO n M� Ke11y, Director of Public ea ,th r f �, w * t Mi ' al l..•r "a At �.2'z „a�� #�<ss c,r! P .. .„ — e, x , 2t•+ as _ +'��!"- sl * ,µya-� r' .._�! 1 .� •. 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