The URL can be used to link to this page

Home My WebLink About0065 FRANKLIN AVENUE - Health .LOT 44`&45`;HYANNIS (` A=292-.040 i } e o o .. ,"HYANNIS FIRE iDEPARTMENI - :. 95 HIGH SCHOOL ROAD EXTENSION - HYl�NNIS, MASS. 02601. .,• . it RICHARD R. FARRENKOPF - BUSINESS: 775-1300 cHlar ): ' :'�' - Smoke EZ)etectou. Save .eived EMERGENCY: 775-2323 r PERMIT FOR; . FOR REMOVAL AND TRANSPORTAT.ION• OF STORAGE: TANKS FDID NUMBER 01922 DATE OF APPLICATION 711 7` PROPERTY OCCUPIED BY PHONE LOCATION : PROPERTY OWNER PHOIJE TANKS TO BE REMOVED ALL TANKS SHALL BY INERTED BY THE USE OF DRY ICE AT 1 . 5lbs per 100 gal.• QUANITY SIZE (GALLONS) .:: ,FORMER PRODUCT STORED, PROJECT SUPERVISOR'S : S7` �je h7/ PHONE 2° S COMPANY' NAM ADDRESS: EXCAVATION COMPANY . : ' A PHONE ADDRESS : r DIG-SAFE NUMBER START DATE COMPANY REMOVING USA LE PRODUCT FROM: THE TANK(S) NAME PHONE -ADDRESS : COMPANY CLEANING THE TANK(S) AND REMOVING THE HAZARDOUS WASTE S�aO NAME PHONE . ADDRESS • /'� ' D.E.Q.E. LfttNSE NUMBER: EXPIRES : MANIFEST NUMBER: COMPANY TRANSPORTI G THE JANK(S) : : NAME• P/ c PHONE ADDRESS • 2S 7-h_._i THE TANKS SHALL BE TRANSPORT TO YARD 'NAME / r PHONE ADDRESS : -t- lo viff jo, MASS . FIR9 IIARSRAL ' S APPROVAL NUMBER r DATE OF ISSUANCE 7 VHYANNIS FIRE DEPARTMENT USE ONLYDATE OF EXPIRATIO RD FOUND - SEE LEAK REPORTOVAL WITNESSED - NO HAZARD SIGNATURE OF APPLICANT SIGNATURE bF HYANNIS F.D. OFFICIAL �- yy ) •TOWN OF BARNSTABLE LOCATIOP SEWAGE # VILLAGE, ASSESSOR'S MAP & LOTtj� — � INSTALLER'S NAME & PHONE NO. 360�' SEPTIC TANK CAPACITY �/�� 6rAI/ LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ,DeGI�'1 S l P y DATE PERMIT ISSUED: G �� DATE COMPLIANCE ISSUED: 3 _ del VARIANCE GRANTED: Yes No � _ ._ � _ � %� � y� _� 3� �, a . . �., o a • � 9:�� ':�j Ste` No....0 (..::-.2:L 7 FEB.... l�.i�. ...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..._-....�.............OF.... ..... - ...................................... Appliration for Dispas al nrk Tonstrurtiun Permit Application is hereby made for a Permit to Construct ) or.Ren Individual Sewage Disposal System ys em at C ` - .... ... Locat' n=Address orjoa No. Owner.' . TW � ---•/�dre�s F-1 --- - •• _ - Installer Address Type of Building Size Lot............................Sq. feet .-� Dwelling.-- No. of Bedrooms.______.___.cz;? ___________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ................................... -----------------•------------------------__-_-___....._....__.... ...._..__..__......... g -- •••• --•-•-g P P �sS�..................•-- to s. W Design Flow________________ gallons per erson �er dad. Total daily! flow...___._.- _ gal WSeptic Tank—Liquid'capacit/jOQO.gallons Length__.. g.._ Width..._____..._ Diameter................ Depth...l,l___....... 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------•-•- ... ------------ ...._........ _.... O Description of Soil__-____..��--•----`T ...__ .. ` � __....._..._/-�. ..�&Q x ----------------•--------------------------•------•-------------------------------------•-•--•----------•-••- --...----------------.-.--••--------------------------------------___-•---- U Nature of Repair or Alterations—Answer when applicable._._ ____.. r ................. P� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System iaDate cc w th the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to ptoperation until a Certificate of Compliance has be is ued t of health. Signed_ - --••- Application Approved By................. �J V , Date Application Disapproved for the following reasons______________________________________________________ ---••---.._._..-•-••----•--------••. ----.....-•___ --------------------•----•---•-------•------._.....------•-------------•-------••_...-----------•--•••-...•-•--•---------•-•-----•--••--•----•-•-•---•-••-•-•---••-•------•--•••--•------•-•••-•--....... Date Permit No �•ja-'-•__ ram-- ------------------- Issued........................................................ Date 4 No.... Fss.... >1F. '...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .. ........................OF.... ..... Cs. .. Appliratiun for Disposal Works Tonntrur#inn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: 6\ � Locat' n-Address No. OIL Lot .. -•r�. ::. . r� ... ---------------------------------- ..�1'._ __ 1 � .... ✓--... Owner.- Address / ..................... . ...`........ ...... .. ..._._. ....Cl il'.-.... _ _.. 3 Type of Building A�= �yL USize 1✓ot_._., �Sq. ., Dwelling' No. of Bedrooms............ ...................Expansion Attic ( )' Garbage Grinder ( ) ' a`4 Other—Type of Building ............... No. of persons............................ Showers YP g -----••------ -----------------------P.... ( ) — Cafeteria ( ) dOther fixtures .....,...-•-------•-•-•-• ••---------•...••----------•---•-•--••-•-•-•--•-----•--•--•---•--•................••••---•••-- W Design Flow.................5'S...............gallons per person per day. Total daily flow--------- ��.....................gallops. q p t�A40.gallons Length____`t�� ... Width...6--------- Diameter________________ Depth...l,,�------- W Septic Tank—Li uidca ac i 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 ( ) 0.4 Percolation Test Results Performed by.. ---...--••••......-----•--------• -------------•--------------_.. Date Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f-14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a . .....----- ODescription of Soil------- -~ ......--�!..... ............ -r-----I .150........ ............................... x W x - ----------------------------------------•------------------------------•--.....---- Nature of Repair or Alterations Answer when applicable--. C-7-F...___ Ssf"N(.5....... .. ,ll1dQ - •� C'..7�f4�tC!r ,��1�5T-•-- rl. j �1-�1' ............1_..."__._.C�� > -! � Agreemen The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accor�atce with the provisions of TITI:JE, 5 of the State Sanitary Code— The undersigned further agrees not to pla e op on until a Certificate of Compliance has be is ed y t boa of iea h. G Signed. Date APPlicat' n Approved BY (J ��.. -- .. . ----------------------- G'�'G' �� Date Application Disapproved for the following reasons:................... . ............................................t---•----•-••-•------------••.....---------.......---------...•------------•-----------••--••---••----•--••---•-•-•-......----•-------•-•--••---••----------- ate Permit No...... D $. -..._..Z -- ------------------- Issued.........---------------------------....... at....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....�G�i.4............OF............ � � C................................. (Irrtifiratr of TompliFanre THIS IS T I Y That the I vi a}�Sew Dis osal ystem c structed (Zoraired CIO" by...............•-- 4 �. --- 19 �.. ..-•------...........------------......--------.�` „� � Installer ...-�j--L- t� 1 has been installed in accordance with the provisions of 'l'ITIZ 5 of jhe State Sanitary Code as described in the application for Disposal Works Construction Permit No....... ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE $11ALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. c // �...DATE. �.. .l.. ..--5. ................................ Inspector-• Is ..................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ( { ..............OF..... ........� �r � �/1..............._. No....vl...'.. .. .. FEE.. Permission > hereby ranted---------- - knrC41a� i� Disposal �i (r Yg ------------✓L°.:s-.------.....�1 ........--- to Construct ( ) or Repair an n Ividual Sewage Disposal System atNo. -------------- ------------ .....l5?-s�................... :: rr,R 0--------------------- Street p as shown on.the application for Disposal Works Construction Permit o.��oea .................................. --......----•-•.....................•............ DATE.......- --�-�--�� - FORM 1255 HOBS 8, WARREN, INC., PUBLISHERS !^