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Home My WebLink About0095 CHASE STREET - Health 95 Chase Street- Si Sewer .Acct # 2611 Hyannis. --- - - -- - _ - - A = 307- 134 0 .Make appligatlon-to local Fire Department. Fire Department retalnsot'Ial0l application and issues duplicate as Permit. :.1:�. AiP� ,:.`' ?�I:O N and PERM 1 T Fee: — 1/ C , :ank removal and transportatlon.to approved tank disposal yard in accordance with the c: :.:.�:.�. ''hapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Name(please print) Robert Crockett I. X Sig (It apllyr.,r;oi'-am:,:,, --...--- 95 Chase St -,; Hyannis,; MA 02601 Street city --- --_ • • . L!LG111 Hit • 1 c,n a;;y c ame Advanced Environmental Co. or Individual PIN! ---- ;", ;s P . O .-.Box 472,;1 Atlantic .Ave . Address South De n n s ,;pm prof -- -- -.. P Signature (if applying for permit) JFCI Certified Other O IFCI Certified' O LSP # Olhcr 4 9-5_Cha-s-e--St;;—H ann s --MA_ "7 . ste•tAddr•a C'1Y .; Gc,:y (gallons) 300 Substance-L-ast-Storea— #2 (diameter x length) :rrn transpcningwaste Advanced' EnyironmentalState Lic. # MV5083856100 _.-Zarccus waste manifest#. E.P.A. # tanK disposal yard J .G Grants Co . Tank yard # 008 e. .non gas w k✓! Tankyard:address w01 entt St . , R advi 1 1 P . MA FDIDN 'Permrt4'�'S�r / - Date of expiration rpro';al number; 982002010 Dig Safe Toll Free Tel. Number��, 02 - ura lip Title of Officer grantin g pe mlt ' �� - ' _. X. ;a:r,cva;(s) send Form FP•29OR signed by Local Fire Dept..to UST Regulatory Compliance Unit, One Ashburton Play n, 5oston, MA 02108•1818. r LOCATION SEWAGE PERMIT NO. 9 ,S c. ,o . tea%_l3� VILLAGE . /-Ni S INSTA LLER'S NAME i ADD It ES D loo BUILDER OR OWNER DATE PERMIT.. ISSUED _2S7 DATE COMPLIANCE ISSUED I� l� 1 Az/_ No.. :. Fx .5..Qa............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .own-----..O F........Barn s tab l e------------------------------------------------ Appliratilan for Uigpaoal Worko Tnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 95 Chasetreet� -Hyannis................................. .- - • Location-Address or Lot Robert Crockett 9_5_ Chase Street. _____yan................................. ....-••--•......-•...._.._.... -••........----•••••-•-•-•••--•••••...............•---- . Owngr Address a A Vic- B Cesspool _Service 128 Bishops Terrace, Hyannis, .S....... Installer Address Type of Building Size Lot..... ..................Sq. feet U Dwelling—No. of Bedrooms...................4.......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons .................. Showers — Cafeteria w YP g --------------------••-•---- P ( ) ( ) 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........................................ aTest Pit No. 1................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____-__-_-__-__-----___. a •-••-----•-----------------------------------------------------------------------------------------------••••-------•---.....-••--•-•-....._.............---- 0 Description of Soil..............................Sand............................................................................................................................... x V ...............--•--•------•-•--•--------•--•----------•--•----•-------------------------------------------------•------------•------•••------------...------••--•------------------•-----•---••-------. W ••-------------------------•----•---•--•-------------......--•••--•--•-------•------•------------•---•-------------_...--------------------------•••----•---••----•--•-•---------.............. UNature of Repairs or Alterations—Answer when applicable.___t.II___install---a---1_,.D0.0...(_one...thous.and) gallon.---Leach---pit---4•s-t.on-e--Packed-_)......-•--•--------------------------------------------•-----------------------------------------------••-...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT:.- 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 e boar f oalth. Date Application Approved By---• Z �rl_� -•------------------ ------...�.Qla.6�� Date Application Disapproved for the following reasons------------------------------------------------------------- -----------------------------------------•---•- ----------•--•••-•--------------------------•---------•-•-----•----------••...__......------------------.-----------••-------•••----------------------•--•....--•-•------------------------------------- Date PermitNo......................................................... Issued--_19/161`78............................. Date No.................... FE 5.,00............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --------------- ---Town �rnz.tcaue.................................................. Appliration for Uiiipuua1 Workfi C oustrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 95.. h e..S ,....F4,.annir............................... ..........................................................................•---•...............---- Location-Address or Lot o. Ra emt.._areakett---------------------------------------•----._...---..... . 5.__ k ?l ...St ' gt_,..Ayannis......................... n f� q �r Owner r�Q y {� Address d A--•�_.�3...t6�c 1�v3 �Q.I._.�s�.�r � E% ............................•........ ..: h 57_._ c-sQ _ �1.•_Hy 1 1:q...•...-•---- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...................4___ ___._Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ____________________________ No. of persons......A.................. Showers ( ) — 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (�_A Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------•-----------------------------------------------------------_---_._.............. -__......... _......._---•.......... _...__•- DDescription of Soil--------------------------....s.�-----------•-------------------------------------------------------------------------------------------------------------------- x W ....................................................... -•---•••----••--•---•-----•----•••--•----••-----••••---------------------•••---•-•--------••••••••••--•-••••••-•••••••...--••••-••••••-•......•- UNature of Repairs or Alterations—Answer when applicable_._to--_Install---a...l _QOQ__.(__cne_._thaue.and gau_=---ieaah---P1•t••-(at-one...paced•)---------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the,provisions of'ITL 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 e boar lifiAth. Signed - - ... .1011V719- c Date Application Approved B -� `�....'t'. lL.' Date Application Disapproved for the following reasons:-----•-•----•----•-----------------------------------•••-:•-••-•-••-•-•••••••---•••-•••--•••--•••••••••-----•- r, Date Permit No......................................................... Issued_..lO IV� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .own..............OF...............Bar stable.........._........-•-.....,.......... C�rrtif iratr of Toutpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired (g ) by..A... _ -__- tgP-0:bY_. erviee.� i�,-8 h:isb.0-06 Terrace: Nl y s , Ma-.... -- nst ller at95...ChaP •- tree¢,9._I n!1;1-s_x........ -••-.......................................................................................................... Crockett------••••. -----•- ---------------------------------- has been installed in accordance with the provisions of T F /5�xf he State Sanitary Co e a d s - ed in the application for Disposal Works Construction Permit No. 78________________________________ date d------.- � �'�� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. L� 6Le,-�------------------•--------------------------------. Inspector___y<��-- •7�---- ------------------------_______-----•-------•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j r73. ...................T.€�u� ..........OF;:............".. : .t b e..-•--•---•-.........._..._.... 5.00 ------------------- FEE........................ 'AhOPS Terrace, Hyyanni Permissionis hereby grantld------------- -------------------•-•-- ..----------------------------..•-------------------------..._.._........._.._._........_•••--- to Co ugjj;g)aoiS4"ig-�, )yaflWi&ual.SewWg"rtstf tt atNo................................................................................................................... ........................ c Yj .....__•-•-•- t Street as shown on the application for Disposal Works Constructi6w"Permit No f Z1 Dated............................................ ------------------=---------•--------------------.---•-----• =f=......................................... 10/16/ /7 S Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS -