HomeMy WebLinkAbout0097 DOLPHIN LANE - Health Mtn
97 Dolphin Lane
Hyannis
A = 268 — 183
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LOCATION SEWAGE PERMIT NO.
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VILLAGE f{Sf. q-7
INSTALLER'S NAME A ADDRESS
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I! UILDER OR OWNER
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DATE PERMIT ISS6JED 1`c,4", — — ;
DAT E C,OMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........---
.....:... ....................
OF.........................................................................................
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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
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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
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