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Home My WebLink About0008 DENVER STREET - Health (2) 91 Denver Street A= 291 —308 Hyannis 1 A Y THE COMMONWEALTH ,OF MASSACHUSETTS BOARD OF HEALTH _... t . ... of ....� .1f�. .1,�. ..i?4esl e........................ 4 , AVAratiun -for liopusal Workii Tomitrnrtion V rrni t Application is hereby`"forato Construct ( ) or Repair ( ) an Individual'Sewage Disposal systemat.: g 16•t_"-• ----•••.----.--.."..-"-.". ..."•-"5`1- ------�+ --�-.1 3-I�---------------------------------`----------------------------- -Address ......�a%,6.`...............�.-- �r�_d_.—.:'_-7r'_�.�-•-`-- ---'._..........--- rrja+G dy O n r "'� ddress Installer Address UType of Building e Size Lot----------------------------Sq. feet ' Dwelling—No. of Bedrooms..._..._..?................................Expansion/Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.--------6.'--------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------- - -------------------------- W Design Flow------------------- ..................gallons per person per day. Total daily flow......._......__. -__---_--.-._gallons. P4 Septic Tank—Liquid capacity-.-----_---gallons Length-------------_- Width................ Diameter........'....... Depth---------------- xDisposal Trench—No- ____________________ Width---------------.---- Total Length.................. Total leaching area--------------------sq. ft. Seepage Pit No......... Diameter_____IA ____ Depth '. g _ otal leaching area ---.._ ----------sq. tt. z Other Distribution box ( ) Dosing tank ( ) / /rd�'t� 4 l aPercolation Test Results Performed by-------------------------------------------------------------------------- Date.... --.------------------------------- ,1 Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water-----------------....... Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water.---------_------ ---------------- .....................--•- ODescription of Soil----- - -�rl------- --------- ---------•-----------------•-•--•--------•------------------•------------------------------------------------ x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-----------------................................................... -------....__-_-.-------.. -- ----------- - 1 ---•------•-------- ----------------------•-----------•--••-•---•--••------------•--------------------•-------.----•---------••----------•---------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee Issued by the board ealth. igned - -------------------------------- Date Application Approved By...... = --•-- - --- 1_-- 7..^-/ ''.�7.... Date Application Disapproved for the following reasons:----••---------•-------•--------- -------••-------•------•----•----•--------------------------------------- ......--- •----•---••-••----. --•------•------•---------•-•---••••••-••--•-••••••••••••-----------------------•--------------.-------------•-------------------------•------- . - �.f ate Permit No. --._---••--•-------•..."_.-"-.--. Issued••---=-<---- =7� �--• ---------_-•--- Date j No.............k. FRic ............... 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..Ttxxi�a...........OF....75..yk.P,.usx.114 1;,:�. ........................ Appliration -for Uiapwial Workii Towstrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System�.Iiv. Al ► . -;-.( 14...0.M.i..... ........................................................... Lo fion-Addrcss T r ......................CAn _& 14--------Taws.r..... 056_ 0 e I dd ress ......... ... ......... Insta ller Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms__..._ .............. Garbage Grinder ( ) ______________________________Expansion Attic a4 Other—Type of Building -------_------------------ No. of pei-soiis........4--------------- Showers Cafeteria ( ) P4Other fixtures ------------------------------------------------------------------------------------------------------------------------------------------------------ Design Flow----------------5,0-------------------gallons per person per day. Total daily flow---------------S"00_-----..----.-_.gallons. 9 Septic Tank—Liquid capacity------------gallons Length...._.......... Width................ Diameter_._.-..-._.-.-- Depth.__..-_.--_--- Disposal Trench—No_ --------------------- Width__ Total Length.................... Total leaching area--_---------------sq. f t. Seepage Pit No........1----------- Diameter----ftM.' Depth 15*XV&t 4, 41!.WI,.�Total leachinigrea------- ----------scl. f 1. Other Distribution box Dosing tank Percolation Test Results Performed by---------------- ---------.............................................. Date--------------------------------------- a Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to -round water--.----- ............... f� Test Pit No. 2................minutes per inch Depth of Test Pit:.-___----__-___-_ Depth to ground water-..-..-.-------.-_---__. W ----------------- ............................/.......................................................................................................... 0 Description of Soil-------ZAVI x7..... . ( ---------------------------------------------------------------------------------------------------------- U -------------...........................................................................................................---------------------------------------------------------------------------- ---------- -------------- --------------------------------------------------------------------------- ------------------------------------------------------------------------ .......................... U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ -------------I--------------- ..............I-------------------------------------------------------------------------_---------------------------------------------------------------------- - -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee .ssued by the board f l6alt Signed ...... ... .. .... ............................... Date Application Approved By------ ;;7 �It-5- �1�,----- ------- ----------- -- ---------- --- .......... --- --------- Date Application Disapproved for the following reasons:..................................... ... --------------- ...................................................................................................................................... ------------------------------------------------------------------ Date PermitNo......................................................... Issued.._..----------------- ----- ........................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................OF......... ....................... Tprtifitatr of Tlimptiatta THI S CERt`lf Y, That t�e Individual Sewage Disposal System constructed or Repaired by......... �*40'4 441.•d........-n-s-t--a-1-1 e-;----- ----------------------------------------------------------------------------------------- f _.).......... . .......... .... . .... ....................................................................................... at -------4..... ---/ S L has been installed in accordance with the provisions of A r ic ' I of The State Sanitary Code as described in the 7, application for Disposal Works Construction Permit No---- -------J12............ dated'_.7 .4e p .. ............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector................................................................ .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH (-7 J7h'� .� 2 ...2 - -No............... ......... 0 F....... ..................................... ....... FEE.A.... ...... ............ . ... ........ .. Permission is hereby granted.:..,: ------------------------- .................................... - P to Conristpy,c/t r Re i an Indivi UpEal . ewa Disposal ys a . ........... ........ ....... .W--- ----------- - ------------------------------------------------- 01-V...... ------ KW7%;;� Street as shown on the application for Disposal Works Construction Permit-No......... ... ted....7.-44=7Z........... ........... -414 -------------------- Board of Health DATE----- -------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS l �k.,V � } .,►y. 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