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HomeMy WebLinkAbout0097 DOLPHIN LANE - Health Mtn 97 Dolphin Lane Hyannis A = 268 — 183 I l I �o =V-' � 9 6e - , 'a3 - LOCATION SEWAGE PERMIT NO. L tr l( . f-����� ,�/ Z ; VILLAGE f{Sf. q-7 INSTALLER'S NAME A ADDRESS z I! UILDER OR OWNER I.._ DATE PERMIT ISS6JED 1`c,4", — — ; DAT E C,OMPLIANCE ISSUED T 4 0 I Ilk I AF j[ t � P THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........--- .....:... .................... OF......................................................................................... #4,9 l6APP iratiun for Uiipuutt1 Works Tonutrur#iun Vamit Application is hereby made for a Permit to Construct or Repair ( ) an Individu _ Sewage Disposal System at: ''I .......... 4 p Location-Address or Lot No. ......f �..._ _ ! CIA .._. Owner Address IT, J.9L ... S3i �✓ c. --------------------------••-----.----- -----.r �X.... ...-- Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (NMa) per, Other—Type of Building ............................ No. of persons....................... Showers ( ) — Cafeteria ( ) a' Other fixtures -------------•------_---------__ . W Design Flow....XVIA.. .......................gallons per person per day. Total daily flow__._.........ftYo....................gallons. WSeptic Tank—Liquid capacity./A20.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.'..®.;2.......sq. ft. Z Other Distribution box � Dosing tank Percolation Test Results " Performed by..... ...................... Date.....t -Z��__......... a Test Pit No. 1......s�......minutes per inch Depth of Test Pit.�Xk........... Depth to ground water.....AlAts!1__. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd -- ------••-----------••-•-----•----•-•-•--•-------------•=---.......... . -----------------•-----...........•----..._......_.....--.---•- x Description of Soil C, 9 ...k �? i17�7....�a: i'r✓ . . e✓ -•--•----------------------------------- U -------------------------------------------------------- •------------------------ ---------------- -------....-----•-------•--•-------••-•-----------------------------------•-------------------- -------------------------- -------------------------------------------------------------------•--•------•... ----------•------•----------•------------......----......._..................... V Nature of Repairs or Altei t/ioons—TAnswer when applicable...�/.�/`�-�.c,r'��_?��t� L ..... C19iZ7. y.._L�!__ J!.-a�! ?_�.._�!d__ ? ✓/ _______________ ..........._.___....____.____............._._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—.The and rsigned further agrees not to place the system in operation until a Certificate of Compliance has be , is ed y board o health. 01 Sig -------- ---------- • -- ------ ----•- ............................ ----.•....-•Z,`s / ^�Date A lica V74p"proved B .............. ......_ - z � Date Application Disapproved for the following reasons______________________________________________________________________........................................ --------------------•---•----•---...---............----------------------------------•-------.............------------------...._....------------••------------------------------------------------------ Date _I_. .. Issued....................................................... Date No........ - Date No.5`a'aJ_11 rJ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.......................................................................................... Appliration for Disposal Works Tontrnrtion rrrmit Application is hereby made for a Permit to Construct ($-) or Repair ( ) an Individual Sewage Disposal System at: ........... ... ::......................................_. Location-Address or of No. •- •~- ... - ............................................. ............ - Owner Address 14 .... 1C: .. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................. .........._._......Expansion Attic ( ) Garbage Grinder (NUJ a'4 Other—T e of Building No. of ersons....._... Showers YP g ---------------------------- P •----•--------•- ( ) — Cafeteria ( ) POther fixtures -----------------------•---------..............------..........------------....-----------------------•------....--•--.......-••--........._.......... W Design Flow-----jrSy!..6.....................gallons per person per day. Total daily flow..............+Yq...................gallons. WSeptic Tank—Liquid capacity../QMgallons 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..+g.;X......sq. ft. Z Other Distribution box (YO+ Dosing tank ( ) Percolation Test Results Performed b ......, G��.l.'a�. .l.Rtre�4.1.d11..................... Date.....L� :!: : a y ............. Test Pit No. I.......42.....minutes per inch Depth of Test Pit..494.......... Depth to ground water...... a.!� ... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---•---------------------------------------•----•---.................. ........... ........ ....... O Description of Soil �+ � ``/ f s /.(1.t+y....ram`.!.-! ..?!. ..-._. 5 !!� s . -- x ...._.•.... ..... V .--------------------------•-----------••••--...--•--•...............--------•........-•-•---••......•---••------............................... ---.............----•-.........................._... W ---•--------------------------------------------•------------------•---......------........................._ U Nature of Repairs or Alterations—Answer when applicable...-- °+C !!l" &&P P.-•--------------------------- -----•--------------••.........._. 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 and signed further agrees not to place the system in operation until a Certifica!9,oj Compliance has be ss d; oard o ealth. Si / �- Application Approved By....:.....:�"� s'4 . ram- ---- ,..� i.. ... Date Application Disapproved for the following reasons---------------------------•----•-----.....-----....--•---------------.....------...........--••--••--••......_ .........................•---••------.........-------•------------•--...........------•--•-•-•------........................----------------••--•-------------•---•-----------............_..-•---....._ te Permit No.......... ' "' -J =-� --------.. Issued............................................a---...._ Date THE COMMONWEALTH OF. MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................................I.............................................. f9rrtif irate of Tompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by...•..,.,1�+���f'..tGt t !.. �.t?. ................................................ - - :::...------- ..........-------------------- ..------•-•--...:...._...._ Installer at....... tl:, .k?,tyf!f ...'Giy�!s`Y. .' ?Y_O.'"�rr'�"' . •-------•................•---•------......__.......__.....--••--•----•--•-•-......_......-•-...........••--•- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the 4r.' I (" /,*? +7 application for Disposal Works Construction Permit No..... —�_._...._ ..- ...---•--... dated---�--- -- -,-�-••J------------------•---• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... - ..... ... ........................................' Inspector..... 1 Vl C f lee'v`L t- ...... 3 � THE COMMONWEALTH OF MASSACHUSETTS ItIKvG"e � BOARD OF HEALTH F >v'NG rvc-N=`�tt. ..OF.....................................T ......................... --------........................................ Fs>s.......-�. . Diopoottl Works one ruction Permit Permission is hereby granted •-•--------•......................................::...........:. to C6nstruct,,j 54 r Repair ( ) an Individual Sewage Disposal System ` atNo--------Y ......... 0..way?tf1At .-AAW.. ..................................---------.......----•--•-----••----•----...-----........,_........ ............----... street PP P � , Vi t•. I > . ...J pew Dated.------=�................................ as shown on the application fo�Dis Disposal Works Construction Perrru No���� J ,� y _ ....................................................... =......-••..........._......_ Board of Health DATE------......t...........................................................-•-••--- FORM 1255 A. M. SULKIN, INC., BOSTON r r ELLIS 6? THULIN, INC. LAND SURVEYORS & CIVIL ENGINEERS 478 ROUTE 6A-P.O. BOX 159 DAVID C.THULIN, PE EAST SANDWICH. MASS. 02537 JOHN R.ELLIS, RLS TELEPHONE (617) 888-2345 December 4 , 1986 Mr . John Curley Cranberry Trail East Sandwich , Ma . . Jack: On April 3 , 1886 I inspected the septic system installed .at Lot 4 , Dolphin Lane , W. Hyannisport , and found it to be. in compliance with the proposed plot plan . A plan describing as-built conditions of the subject. house and septic system is attached . A copy has been forwarded to: the Town of Barnstable Board: of Health for their records . Please let me know if I can be of further assistance . Very u--ly yo s , Ellis & Thulin , Inc . David C . Thulin , PE . cc : Board of Health Town of Barnstable • ICJ/P' t �•flFp i2.� 1 N/F wA51--E1N(�Tpu � OF RR ti3.Zco t - S�• �8 ; c l ` t 29874 a WnTE : SEPIIG_SYSTEM �� 5 ®R Ep UxAm >Nm Fzc)&A DIAGRAM 1� , 88Z �.F• ,��oLST �O; " BY AYUCTt` G' VST.� SAND: 0 m q _ 10.0 4) 13.¢. co 4,0 Z Z.O N � SPPf�G TANG LEA.--m P11s R"a 2 - s" Rlse2s m LP LP 8S Z�L1.'1Z s' 1 to 80.00 1 0 0. DoL_i-mil t .� L �titE HA/LA-D-D Arm-A GoM mu�-j I T-1 IDA 1jF-L_ t,j QEYISb (2-5-86 25 aGo t o02o e 2E� c�rcaB�P_ 7 9 83 CI=P--m Fri a=D A LoT A L.A" �D ?R ►- E AL-T 4 vA0.1Ax sCE fie, i .D LOT L,�m p-z-•p- 1-7 , 1 q o 5 E-Fi /LoIJ E c�F scA �" = ti o' L)AT�: • 8 •gam . 1=-L.L 1-5TF-1cJLIr�! I!-1G. �CISnUG �tJDA-nc>Q of-3 M-4I". . J�,aS : 85-tya Ltd IS LrxA-t�� I!-J �L PCT10�J T� 4n6 2=,-)ta GA GQ EY- .qv =!-bwaJ EAST SArJOv/1Gr-{, MA •, 7 cr-I B'!: J L I .9. eC>a 5f-IE-ET 1. of