HomeMy WebLinkAbout0157 DUNN'S POND ROAD - Health 157 Dunn's Pond Road
Hyannis
LOCATION SEWAGE PERMIT NO.
VILLAGE
INS A LLER'S NAME i ADDRESS
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0 U I L D E R OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED -�3_��
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH °V%
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JAllp ira#ion for Uhipaii al Works Tomitrurtinn Prrmit ,
Application is hereby made for a Permit to Construct (,<or Repair ( ) an Individual Sewage Disposal
System at:
................111 AC!I� r�ir ........�J.Y r`I a �O� ............................................................
_......... ......
Loca on-Address or Lot No.
d!fL!aj3 y....�.Y.:..... rd h® ..............................
C�e!Y
Owner Address
W
Installer Address
Type of Building Size Lot...&3-5 Sq. feet
U Dwelling—No. of Bedrooms............... ........__ .Expansion Attic Garbage Grinder (/`b
a
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P4Other fixtures --------------------------------------------------------------•-------------------------------------------•-•------------------........--•--......----
W Design Flow.......... ......................gallons per person per day. Total daily flow.......:2. .........................gallons.
WSeptic Tank—Liquid capacity C/94..gallons Length.......?...... Width.... ...__.. Diameter................ Depth................
x Disposal Trench—No.................. Width..-1 .......... Total Length---�`f........ Total leaching area•--.IV ...sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (✓) Dosing�nk ( )
Percolation Test Results Performed by.....:- ! ..OK.O - Of� c9sir�,�isDate..... __-__Z 3~7-1
a ......................
Test Pit No. L..;r 0......minutes per inch Depth of Test Pit................... Depth to ground water........................
G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
------•------------------------•---------------------•.. &.....•-•-:p..r..••------•-•-•---........----•••----•--••.._......-••••--•----••----••----
xDescription of Soil............. -(® 1-.d_f tq--------------------7.. --- -------- v l3,of
c.� ------------------ ; ..._...... ..
UNature of Repairs or Alterations—Answer when applicable.-..............................................................................................
-----•-----•-----------------------••-----•-----...--------•--------------•----•---•--••--••------•.-•---•-•--•-------------------•..---------•-----•-•-•---•----•••---------------•-----------------•-.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of IIT .;,;.
p of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be^issued y the board of healt
...........
igned - ----- -----------•----•--•--�= — —?�
.......
ate
Application Approved BY____________ .... t—...� g
Date
Application Disapproved for the following reasons:----------------------------------------------•......----------.--•-----......-•-----••--•......--........__._..
(� -
Date
PermitNo...................................................-.-.. Issued.--- -/�-----�-�"---•..................
/ Date
FEB.. C+ F.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
O ........OF...: 4 �t"a I :: L»
. 41!rafiv for DW'V aal Workg Tomitrnr#iun ramit
Application is hereby made for a Permit to Construct (VOT Repair ( ) an Individual Sewage Disposal
System at
�g -Location: Address or Lo
- .:y5tf Aa�' .C:t!3? ��F.:... lr! SMA� f,$? t [f Fo
rl,
�!S Owner Address
W
a .................•--..._._...........-•-•-------•----.....----•--------•--........._.._........ ....._._....--------....._......_..._..----' '--•--..__._.....---...----......----.....---
Address
Type ss
Type of Building Size Lot_A:: > ..:_:_Sq feet
V Dwelling No. of Bedrooms.__. 2�1.......................Expansion Attic (- -) Garbage Grinder 0)
a .............................................
h i1
YP g P ---- ( ) Cafeteria ,,•.Other—Type T e of Building No. of ersons________________________ Showers
Other fixtures
W Design Flow....... y_�______________________________gallons per person per day. Total daily flow....... : i ...........:___:___._._._gallons.
9 Septic Tank—Liquid-capacity-44. :_gallons Length----- `_....... Width_. Diameter________________ Depth .__.__.
x Disposal Trench—No ... .......... Width__ t ........... 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 _ ± ? .:: 23..0* Date__
4 Test Pit No. 1.; + _..:__minutes per inch Depth of Test Pit.____.__ _.:..__. Depth to ground water_____
r4 Test Pit No. 2................minutes per inch Depth of Test Pit.....................Depth to ground water........................
w
x Description o Soil ' - �---- `
--_-...
U ............. ------- sir?I .............. A1 - � V
;?
x �...... ....
U Nature of Repairs or Alterations—Answer when applicable.................................................................................................
-•-------------------------------------•--------•-------•--•---....----------------•------._.....-----------...----------------------------------------•------------------------••-------•...._.._------
Agreement:
The undersigned .agrees to install the. aforedescribed Individual Sewage Disposal System in accordance with
the provisions of:T T LE 5 of the State Sanitary Code-The undersigned further agrees not to'place the system in
operation until a Certificate of Compliance has bf-en issued by the board of yhealt -,
IV
Sign . ..................... ..................... _. .__ *'_....
nate
Application Approved By.........
Date
Application Disapproved for the following reasons:---•-----------•-•-------------•----•-••----•--------------•--------------------••-------•----•------•••••-•_.
..............•------•-•-•----•--•-•-----••--•--------------_--_..._.....--------
Date
Permit No................. _ Issued
......... ..__... Date................. —
THE COMMONWEALTH OF MASSACKUSETTS
BOARD OF HEALTH
............& .............oF....., ? .............. '
Trr$ifiratrof f ompliana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (' or Repaired ( )
by ..._...----- - --•-••----------•---••--•------••-•-----•---•-._...--•-•-•-••--
.60" Instal
has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the
application for Disposal Works,,Construction Permit N ._.. _ ,f' dated_.-.J.....
'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE `- �c Inspector..... ---------•-..._.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.........................
FEE........................
�n � nr#ilan �rmi�,
Permission is reby granted_.__. � ' �
.-.. ._e�. ... -- ---- -- -----------------•-••------..._.----.....---...._....._•--•-••--_....
to Construcf ( r Repair ( ) an Indi ual sSew a Dispo al System
treet q
as shown on the application for Disposal Works Construction Pegrig. No. _ Dated__,. _- 1'. -�-�� -
'A!'1'1 ... -- ...._
- Board of Healt
DATE......:-cs -1V,� ............................................
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FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS '•'"
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LEGEND Tom - - _ -
�EX-I S-T'VN- --5`P O TEE L-VA T 0 N . 0„O r�cJ it//�'S T I F I E D PLOT PLAN
EXISTING CONTOUR -- ® — — — . To ✓,, .< L v 7 9 o bav vs 7/-->o .,
FINISHED SPOT ELEVATION 0.0 �
FINISHED CONTOUR 0 - -
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APPROVED : BOARD OF HEALTH A S®142 L. 10M ASSO
®ATE AGEPdT- - _ - — SCALE / %/CJ ' DATE _ 3/z-3 7
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' L®_RE®GE ENGINEERING CO. IN
-- -_ _ CLIENT -______-___- I CERTIFY THAT THE PROPOSED`
EGISTERE REGISTERED JOB No. -79 0-1_�_- BUILDING SHOWN ON ' THIS PLAN
CIVIL LAND ' CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR. BY A OF BARNST BLE M14-4
AS
33 N0. MAIN ST 712 MAIN ST. CH. BY n^�3• �/ 7S c
SO. YARMOUTN MASS. HYANNIS MASS. Z- E- - - -
SHEET� OF DATE EG. LAND SURVEYOR
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LEACIVING FIELD g
SECT'/ON OF 6ROU"ND JVA TER 7A8LE
SHWAGE D®sP0,5A L, SY6M'/ l I Tia
3 FT. 6 FT. D.C. SCALE �.�" 0" O/MEWS/O/d 45 T.
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-- ---- 41/d/PNsION..�._ 6 FT
2°'LAYER 4 DUUBLE S®®L E-5� SSOIL1-®G
4F I8" 3/8 PE?FDRATED SO 1 L TEST #/ .SO/L TEST9#2
1N.9Sf/EDSTOME. I PVC P/PE DATE OF SO/L_ TEST /13 /7 ? �ELEV. 9g.0 -EC`cv
RESULTS )V1TAo(ZS5EO DY
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PERCOLAT10" RATE #'I Z p MIN//NCN Los4.m,
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PERPORAT.ED WDOD 37AXEs �Ui�9®ER OF E•ED/�®O/�S _ � sA ell,) AL G'aA V L-
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//VVE/?7" ELEVATIONS D VVS Ev L E�
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ROBERT INVERT AT BC/1LO/AIG `1-9-2 , 'T �V�>2!/✓OS f f�/� ®l��//S
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DlITLET,OI,ST7�18UT/®/l Box �.� N r^fIrN/S., MASS. So. YAAmoUTH, MioSS.
ss/0tN4 L � ENO OF LEACHING F/ELF FT
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