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HomeMy WebLinkAbout0046 CUMNER STREET - Health �f� Gu�nn� S�. 's �- ��; 30� / � aq� ;� LO ATION SEWAGE PERMIT NO.,/a9 V LLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 0260 SE:WER BUILDER OR OWNER IWO S r s DATE PERMIT ISSUED DATE COMPLIANCE ISSUED A� ti I F17 i q - Fw3 $10.00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable ............... ... .. ..............OF..........................................-----------------....----------------........... Appliratiun for DiupuuFal Workii Tonstru.rtiun ratuff Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Cumner St. Hyannis, Ma 02601 •...............__------_.................---•-------------•-•-----••----•----•...•............ •....---------------••----•--------------------------..............------••-••--•--.............•- Atsalis Location-Address Cumner St. Hyannis,N Ivla 02601 •-----------•--------....................................•----•--------......--•--••......_._.... ------..............-•----•--•--.....------........-•--------------•-•---•-...---•--•----...--•--- w A & B Cesspool Serftde 128 Bishop's Te=. rffyannis, Ma 02601 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........................................ExpansTn Attic ( ) Garbage Grinder ( ) p,, Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) pa 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........... ,--4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil---Sand---------------------•--.--•-------•--•...----••-••--•••-•-•-•--•-......•-•------•--•-- --------••.------ ------.....-••---...•.......... x w UNature of Repairs or Alterations—Answer when applicable...__Install a 1000- gallon septic tank d- box and a 1000 gallon leach pit, packed with stone Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by,the board he 1 8/8/83 d. Application Approved By...... ••--••••• ••----•-•-••••-•-------------•-•-••-••......_....................-•-•--•••--- ...................8D�te ......83...•--- Date Application Disapproved th ollowing reasons---------------------------------------------------------------------------------•------------------------•----•- .........--••••-•••-•--•-•--••••-•--......•-•••-•---•---••-•......•-----•-••--••-••--•-•----••--•-......... Date PermitNo.83................................................... Issued....................................................... Date y No..33-..5.f- ;r 10.00 _' Fes$..$ ........_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .......... ............. ..O F........................................--------------.........------.................---- Appliratiun for Disposal Works Tunstrn.rtiun ami# Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal Sy(Jumntemer St. Hyannis, l�:a 02601 Atsali8 Location-Address Cumner St. Hyart ,Nc'a 02601 ______________7 __.... • ........... ......................................... _.........---•-••--••---------•---•.........••---••-------•••----••••••--•••••••.......•••-•--•-•- W A c'e Cesspool Sere 12P Fishop's Ter]Ndr -annis, Ma 02601 Installer Address UType of Building 3 Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansipn Attic ( ) Garbage Grinder ( ) �`4 Other—Type e of Building No. of ersons____________________________ Showers YP g.---------------------------- P ( ) — Cafeteria ( ) Otherfixtures ----------•-------------------------------------•-•------••••••-•-••-••-----------•-•---•--••-•-......-••----•-•--.-- ......•--- 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-----...... --------••--•--............ W a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pro Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ PaS2.nd--------------------------------------------------------------------------------------------------------••--•------------------•--•---•----•---______------ 0 Description of Soil........................................................................................................................................................................ x V ....•--••••••-•-•-•••••---•-•--••-•.....-•----•-•---•--•--•-•---•--•-------•-••---•--•----------••----•-•-•-•---•----•---------•--•--•--•-•--•-•-•••••--•--------•--•-•----••-•----•--••............ W M ----------------••-------------------------------------------------------------------------------•----------T------ --- W � 1? q,� q � .,.�,},�P� �nsta I--a-- C100---�a1T"on""septic._tarkr_......--- V Nat au 4 oXe� i �r 1it7 a yori jbjVj v j4 P dL�RSti--v- tYi--S t affe?------------ ..-•--••....•--••---•------••-••------••--•--••••••-••••------•••-•••••••.•-•---•-----•••••••••--•---••------•-•--------••-••••--••-••-•••••-•----••-•-••••-----••-•------.....-•-•-----•-•......•••--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha en issue by-the boar-d—of he l lid 9/8/83 .,,,,,s• .ate ApplicationApproved By--••• •--••-•--... -•-•-•---•••-•••---•-•--------•-----••-•-••---•----•-•----•-------•--_--•• .. Date Application Disapproved r the following reasons-----------------------•--------•----•-------------------------------------------•-----------------•--.......••-- ----------•---•..............•----•-----...........----------•-----------....-------------•--------...--••-----•-----•----------•-••------••-----•---••••••---••••--•---••......---•-•--•----•-•------- n3— Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................O F..................................................................................... At Tatif iratr of Toutplianre ATIi tsjie�hPjt? eTkueeY� ss�' C�� ucted ( ) or Repaired (X ) by yannis, Ma 0m Vf -- A,tl ,�.s at..................................................................................................................................................................................................... has been installed in accordance with the provisions of T F The State SanitaryCow. ribed in the application for Disposal Works Construction Permit No .� '___________________ dated ...... j ..........__._______. THE ISSU NC OF THIS CERTIFICATE SHALL NOT BE COASTR AS A GUARANTEE THAT THE SYSTEM F(/ACTION SATISFACTORY. DATE ...0. ......................................••---•-....-- Inspector .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH awn i arnstable 33 ...........................................OF................................_.................................................... 110.00 No................. ... FEE........................ urk� rruti� do . essp of 7jerv7ce 1 t� s,zs op's Ierr "yan.n?s, `a 02601 Permissionis hereby grant�d--•-------------•-------------------------•---.••••---•-•--•--•-•••••---•---••-•---•-••••••••-•••-•-•-••-......-•---...... to Construc { arc epa y njtan Ix,i�6�11Sewage System atNo.................. ------------------•----•------._....-•-----------------------••-----••------•-------------------------_-...---......... Street 33 �i as shown on the application for Disposal Works Construction Permit o:..��' ____ Dated.......................................... 8/6/33 ........................... ••••-• --••---Board oars••of•• - -----Health--------------------••----•-...•••-_..... DATE_ ----------------------•---------...------------........................•••••. FORM 1255 .A. M. SULKIN, INC., BOSTON ,