HomeMy WebLinkAbout0007 DARTMOUTH STREET - Health 'I I�arkmowM SF•� � • D�nnis
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LOCATION SEWAGE PER IT NO.
V I L L-AG E
,4T Anne 3
INSTA LLER'S NAME i ADDRESS
19+6 0e5&o l
1BU1LDE'R OR OWNE
DATE PERMIT ISSUED �Dryl
DAT E COMPLIANCE ISSUED1�^� �/
1
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No.... Fxs...$...5,20.........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.....................T own-.-.....O F..........Barnstable
--------------------------------------------------••••-....._..-•---•
Appliratilan for UiipuuFal Works C onstrn.rtiun lirrutit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
e t� '�iyannis.,... _...02601 -�•1----------•---••-------
-• �°N y ... ......
�y �ysra pr LXi•'�iS"
/(/-•- Location-Address or Lot No.
SullivanSt., Hyannis, MA •02601
....._.......................................•---•-----------•----........._..._ ...................
Owner Address
w A & B Cesspol Service 128 Bishops Terrace, Hyannis, MA 02601
Installer Address
Type of Building Size Lot.... ......... .........Sq. feet
Dwelling—No. of Bedrooms.__.._____2
...............................Expansion Attic ( ) Garbage Grinder ( )
a'_l Other—T e of Building No. of ersons______________3___________ Showers —
YP g ---------------------------- P ( ) Cafeteria ( )
04 Other fixtures -----•----------------------•--•---•------------•-•----••••-•••••----------••---•-•-•-••••-=••••••--•-•-•-•...••-•- -••-•-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid'capacity_______.____gallons Length................ Width................ Diameter................ Depth................
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........................................
14
14 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
93� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
M ....................................
---•------------------------------................
------------------------------
•------•-•----------------
-------------------
-------------------------
•.....
0 Description of Soil.......... .........................................•----•-•----•------------------------------------------•---------•---------•---------------......_--_•••-•-
x
w
U Nature of Repairs or Alterations—Answer when applicable._lwitalla:ti9_n---S2f___a._1;OQQ._gs�,1 1921.. xe-cast_,
•stone--hacked fee ••Rlt-,---(mexfl.Q.W)...............••.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLP; 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 b rd o health.
do
Signed••.--------
Application ••--•-••- •- - • J` --- --------10�14�81
A roved B , / Da e
PP Y :......_ -----------------
10V14_M
Date
Application Disapproved for the following reasons:-------•------------•-••---•----------------------------------•----------------•----------------•---•••••-••---
... ..... ....................•-•---------••-------...-•------•----..------•------•--------------•-----•--••--•-••--•-----•-------•------------ ----------•-•-
Date
Permit No..........81-........................................ Issued_....1911V%
No..... F�s... ....5.�0A......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................... '..own---......OF..........Farnstable
...........................................................................
Appliraation for Uhipos al Works Tonotratrtion Frratit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
S :�rannis t 1�"A 02601
• .................•---........:
- •�7 Q Location-Address r''x � �� or Lot No.
ullivan ..... ..... Hyannis. ^:A 02601
7*Pe_hST'0St...
.....
Owner Address
W A & B Cecspol Service 128_ Pishops Terrace, Hyannis,_ I:A 02601
--•-----.......
Installer Address
Type of Building 2 Size Lot............................Sq. feet
a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Q, Other—Type of Building ............................ No. of person .......... ....._._... Showers ( ) — Cafeteria ( )
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........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.:......................
9 ......................................................-.....................................................................................................
DDescription of Soil----•---Saad--•--•---------------------------••----..-.-.-..-•---•------------------------------•-------------------------------------------------....----.------
x
c,
w
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------
U Nature of Repairs or Alterations—Answer when applicable nsta.11at on of a..-1,_000.-g ----
stonepacked leach.... ....... ar.._�low).-------------..-•----•--••---------- ............ .......--........-.........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iI'i TIE 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 b rd'0 health.
Signed � 1 4/81
D .
Application Approved BY ....- 10� LD�81-----------------------------------------
Date
Application Disapproved for the following reasons:................................................................................................................
Y
.......................................................................................................... .................
Date
Permit No..........81-.............•-----------------......... Issued...10114 f 81........
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....... ?.Own........OF..........4parnstable
........................................................
Tatifiratr of ToutpliFatta
'ILS�IES TO CFZTIFY Thatl�eBItdivdual Swae Disposal S stem constr � ( ) or Repaired (X )
f 'essFoo Service, -------------
1 - Slfii�� van
at..................• . --•-------•------------•----•---......----•-•-----------....----
,, has been installed in accordance with the provisions of TABLE 5 of The State Sanitary Code as t •Ve in the
application for Disposal Works Construction Permit No._ .-------��e�................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A.GUARANTEE THAT THE
SYSTEM WI L UNCTION SATISFACTORY.
10t14/81
DATE................................................................................ Inspector... !.&- ................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
c5">7 ............................Town OF -----Barnstable $ 5.00
81- n............. .-----...._...................._....._.........................
No......................... FEE........................
Uiopo� al Workii Tonotrudion rrutit
A & B Cesspool Service
Permission is hereby granted------------- ----------•---------•-----------------------------------------------------------------.....--•---..............._.
to Constrr��}{{c�t l or a air X n I dd> ual e e Dis osal System
at No.. `� ' 'j..y�ann�t� )1� 2�� - u Van P..Street y
-----------------•---------------------------------------------------
as shown on the application for Disposal Works Construction Permit No.. 1 ............ Dated..........10/14/81
+. .��... '
. ----------------
10 1 Bo Health
DATE.......................4 8--......------------------....-----...----•-...... --------«
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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