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Home My WebLink About0286 COMPASS CIRCLE - Health e - 286 Compass Circle Hyannis A= 310- 396 (D LO ATI N p` SEWAGE PERMIT N0. VILLAGE �S ® Y I N S T A LLER'S NAfAE ADD ASS BUILDER OR OWNER DATE PERMIT ISSUED t�,� _ Z � �p DATE COMPLIANCE ISSUED � t� p QN r�19 1 `� 1 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH , 1, Appliration for Diipnsal Works Tonstrurtiloln ramit -/ Application is hereby made for a Permit to Construct (1C) or Repair ( ) an Individual Sewage Disposal System at: 10... .t s C�r e.� ............. .. ��nas Locatio Add s or t No. .... s ... �. ................................ - �� Z/.. ------ O ner n Address a -.. .:../�..... ...... Installer Address UType of Building Size Lot.......U c®_.......Sq. feet �-, Dwelling—No. of Bedrooms..........�.L.............................Expansion Attic ( ) Garbage'Grinder ( ) a`4 Other—T e of Building No. of ersons.......Al................. Showers YP g ------•--••---------------•- P ( ) — Cafeteria ( ) 04 Other fixtures .-------•--------- ---------•----------•---------- ............................................................. W Design Flow.......33 v..........................gallons per person per day. Total daily flow.......ZZ-0.........................gallons. WSeptic Tank—Liquid capacity-!_pdo..gallons Length...............: Width................ Diameter................ Depth................ x Disposal Trench—No. ........ Width.................... Total Length..................... Total leaching area____-Zl-5-.?.....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....OK—t..1).1Y1..g_._-_.__. ,4 Test Pit No. 1................minutes per inch ,'Depth of Test Pit.................... Depth to ground water........................ �Z, Test Pit No. 2................minutes per inch"' Depth of Test Pit.................... Depth to ground water........................ a' ................................................-............................................................................................................ 0 Description of Soil..CrAx. P.......5.!tr.. f' '��'......-.(,.", .tEz27 �-/N_�.....5�?!�.A........................................z.---•-- x W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•-•--•-•-----••-•••••--•-•--•-•-•-•--•-•--•-........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TILT�.;,,. 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 the f hea . ignedz" Application Approved B ` Date Date Application Disapproved for the following reasons-----------------•-----.......--------------------........-------•-----------••-•-----------••--••-•.....•---_... ---------------------------------•-•----......--•---------....------------....---•--....--------••----------•----------•--....--------------- -------------------------------------------•----•-------- 1 p Date Permit No........... `...�...--------•---------------------- Issued_................. ....-------. {----...---•--•---- Date 70 No.. ._ l '` Fps .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I;L.,1............................OF..... ,��fJrQ�t.S% ApplirFation for Disposal Works Tonstrurtivat rranit Application is hereby made for a Permit to Construct (,C) or Repair ( ) an Individual Sewage-Disposal System at: Locations-Add r sys or l pt No. / ..:.L'�S!....��?:.„i ?.�.1.^ _.:.!.,F7....-3"'-' L:?:ZD�:.A'./fiiv::'/!:�`,....?:5?r'w:• .. ---..... . '. .r.. G 3 ner I Address ' . .G.{.................^_............_ Installer Address Type of Building Size Lot-------I.1fra!?�q-------Sq. feet ., Dwelling—No. of Bedrooms...........c............................... Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons a YP g ------------------••------•- P `.�..--------------- Showers ( ) — Cafeteria ( ) Other fixtures . W Design Flow....... ..........................gallons per person per day. Total daily flow.........-.; .0........................gallons. W Septic Tank—Liquid capacity- nnA:.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No...N°.N_F..-..._. Width.................... Total Length.................... Total leaching area.....u.=_.?.....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._Z�Ae M-!24!...�C_ ............................ Date....<:t..1..! :?. ..__.._.. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fro Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------------•--•--•--........--•---.....----•--•---•----------..._--•••-......................................................... ODescription of �......S`1 = i^ ./a6......_ �57•s 2-7 /Nt S.nr�. .................... x W VNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------••---------------------------•------------................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T T LE 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 the board of health. /..�...., Date Application Approved B /•--+- - Date Application Disapproved for the following reasons:................................................................................................................ ..............................................••••-----......--•.---•-••-------••-•.._.........•-----••---•------.......-•---••----•-•-----•--•...••-•----••--••-•••••-------••-•---------•----•------- -12 Date PermitNo............ ...._-..... --------------- Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH Flow,. OF. �. .................................................................... : Trrtifiratr of f ompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (x) or Repaired ( ) b ....... -•-----------•-•-----•------••..................•-----•-----------.................-----...........-•.............................--•-•---•-•- Installer , 14-1 �S has been installed in accordance with the provisions of TITLE of The State Sanitary Code as dese ed in the application for Disposal Works Construction Permit No.................................................................. dated-------- !_'_ .'". __............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector................................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARDS OF"'A1EALTH :a Tin.AIs')..........................OF......h�.O-i�r�-f�:%��i..�..�......_. ................................ No......................... FEE............--•--....... Disposal nrksK(gontrudion rantit Permission is hereby granted. ` ....f-cam F..__.11060 11— - ---------------------------------••---------•-----------•••------••----•---.------•----- to Construct ( 4,) or Repair ( an Individual Sewage Disposal System at No....l.o-R--••- Street as shown on the application for Disposal Works Construction Permit No.......7-:'f ..... Dated..... / ----•--••----•-••-----....---•------------------•-------------------....----...... ...: .....--•---.. Board of Health DATE............................................••-•--------•--•---..........._..... FORM 1255 HOBBS & WARREN, INC.. 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