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HomeMy WebLinkAbout0007 DARTMOUTH STREET - Health 'I I�arkmowM SF•� � • D�nnis a8' 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 J -- � a- 7✓' 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 Rid