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Home My WebLink About0028 GOAT FIELD LANE - Health y U4� I t A X tJ4 1 A 247 203 � � � Hyannis f, a o o I j a , io o i( # 7 LQFCATION SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS 7\ ; 0: s C,� e U I L D E R OR OWNER DATE PERMIT ISSUED zhyl.$3 DATE COMPLIANCE ISSUED �� 8 6� Z r� �r M FEs........ LTH OF n� THEBOARD AOF ,HEALTH Ts ............./...1✓.." ....`...OF......, ............................. Appliration for Disposal Worko Tonotrur#ton rumit Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal System at-: -.. . s! �Sl.%t...e .. -............................................................ Location-Address ......or Lot No. 1 -� - .-- ........ .............. ............._........__. wner Address .fifl-.. 0......................... ........................................... Installer Address . Type of Building Size Lot-Z. .:/.._7/..Sq. feet U►-� d --..-•-•- - Expansion Attic Garbage Grinderf�Dwelling—No. of Bedrooms.............. Other—Type of Building ........ ersons............(�............ Showers Cafeteria ( ) dOther fixtures ...... ................ W Design Flow............... .......... gallons per person per day. Total daily!flow.......... 3_ ...................gallon. WSeptic Tank—Liquid'capacityAo.gallons Length.....1�... Width... . ........ Diameter---------------- Depth... .......:. x Disposal Trench—No. .. 1r/ZQ.... Width.................:.. Total Length.................... Total leaching area. .(t...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area....-.............sq. ft. Z Other Distribution box Dosing to ) �+ Percolation Test Results Performed by------•. . --•-.......... l -•-- --- Date-------... ..3 r a _ l�7-j'�`.. r Test Pit No. 1....�.�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........................ lr----- -•-- O Description of Soil 1. ............. -=: ... - x ri — f W ----------••--------=-------•---••----••••-••....•-----••---...-•----•--•--------•---•-•----............-------•----•----•-------•-------••---------•-•-•••-•••-•-----•----------•------•--...........•. 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 iITLi: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Date Application Approved B Application Disapproved for the following reasons.----••--------••----•-•--------••---------•-•---•----------------=------------------------.............----••--- -•------...•--------••-------••••••-•--•----------------•-•-•-............•---•-----•-.............,-•--•.......---------•-----•--•--•••-•---•-•-...-•---•--•-•-.......•----•••••-•-----•-••----...._.... Date PermitNo....................................................... Issued..................................................... Date N No................_....... c- FEs............._............... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..............T .....OF.......,1� / t /.�i .............................. Allp irFation for DiopnoFal Workii Tonotrnrtion omit Application is hereby made for a Permit to Construct 6rRepair ( ) an Individual Sewage Disposal System at: �- .C�hvl `��r.1->D� �T.•_.... Location- ddress or Lot No. 4!- .................... ................low .... •--- -•----•-•-----•--•-•--•._..------..................--- • v wner� n /�" Address w ................................ !/l.G /.' ..../......•................. .................................................................................................. �/ Installer Address G/ Type of Building Size Lot_._.:_..�r..................Sq. feet Dwelling—No. of Bedrooms.............:..:....... ._.......Expansion Attic ( J'i)rl Garbage Grinderi(Vc) Other—Type of Building No. of persons................ ( e� Cafeteria ( ) ---....-•��•-•-•----•• �--•--....._ Showers — p`' Other fixtures .:.... /1?C' .....•-••-•-----•..... • .. w Design Flow................._ ...............gallons per person per day. Total day flow............:-3.s.......................gallon, lX Septic Tank—Liquid capacity./MgalIons Length....... __ Width.._... ?....... Diameter................ Depth_.. .....:. Disposal Trench—No. .... �� ... Width.................... Total Length.................... Total leaching area..`4_ ...�.__sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box Dosing to ...Percolation Test Results Performed by.......... .. ............... ..._ ...... Date.................._..___..:__........... -Test Pit No. 1.....Z—7ilinutes per inch Depth of Test Pit......"ZI... Depth to ground water......................... r fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _ Description of Soil..............( ":Z._..__._____ �t- ------•---------•._••-•-••••- ----......e.....-•-------.............................................................. w VNature of Repairs or Alterations—Answer when applicable..................:.......................i.:._._.__........____............._..._.............. ----------------------•----------------------.-------•---•--...------------------_.--___----------__---------------------------..---•-•----------•---------..-.•-..-.---..--._-_.-•-----••----_.-. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue�d�by the aboard of health. Signed_._._/........./! `�.._= Z. "—�� Date Application Approved By.....__.....- ..-•--•................."------------.. ......_-%� Ce mac.✓ - Application Disapproved for the following reason :-•-----------------------------•-------------------•---•----.....------------......-----••=•----.............._ -•--------------------------••---....-------•-•---••---------------------...........----- Date PermitNo......................................................... Issued-......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ! .� ..... K.. .............OF......... /... . ... / . ........:............ J gib•;. Trrtif irate of Taampliana THIS IS /T�-/ CERTIFY hat the Individual Sewage Disposal System constructed ( or Repaired ( ) y ............................................................................................................................................. 4 y v Installer at.:./,...__._._ _.?.......... ? - j- � y -------•----------- _ � = ?-6s.been installed in accordance with the provisions of TITLE of he State Sanitary Code as described in the application for Disposal Works Construction Permit No__ ... 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 OF HEALTH . .. .... No.... ( FEE...................... Disposal or Tuno udion rrmit Permission is hereby granted !1.r!.................................................... ............................................. to Construct ( or R pair ( _)_an Individual Sewage Disposal System n _/ at No...... r�.c:� f_. �..��...__ �f/l�P .. . /..._ lir��a? •fI JI, :...... Street as shown on the application for Disposal Works Construction Pe;,r ,,• No..................... Dated.......................................... � •--------------------------------•-•-------••--•-••-•-•-•...... Board of Health DATE....................•------•------•---•-•-------•---••-•-............•---------• •FORM 1255 A. M. SULKIN, INC., BOSTON . yy f(f, Zo Mr , � 6 (o 000 0. k o 7— } LoT3 TVar� �l Ad OF F sr�ss� / i suR�F'y Off . 8r °T 2 TOP 6 b4TA g 46E d Z)O y LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION CA OFM EXISTING CONTOUR --- 0 FINISHED SPOT ELEVATION a� FINISHED CONTOUR a P/e,# 94 2Y9, p /� a IN APPROVED BOARD OF HEALTH. ao:966 0:1 S/pNAC EN-� DATE DAT E AGENT SCALE, 1 W8 - ��! S LOREDGE ENGINEERING Ca/NG GLINT a I CERTIFY THAT THE PROPOSED EGISTERE REGISTEREq JOB NO•. .8.3...,,�. .� BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING -LAWS ENOINE,,ER DR.BY ' °----3 - OF BARNS AS E ASS. :T 12 MAIN STREET" ' * " CH,'BYE gT, V,W, HYANNIS, MASS. ' `1.13. 83 SHEETJ.. OF .Z... GATE REO. LAND SURVEYOR 4 YZ V 14VQ 14 Y: Wed hp� � � � � g £ 14 14 � ' ado b iA h 44O14O � W14 �• Wy � o . • 4bo1 0 14P. [ o • t tl � ti (OIAW . • . �Z. . . • 4 4 � ,00 14 Q J1J v ti U C tVic '• ,.. . .. . .. . . . . � aC F �a0 _ .. . .'. . . . 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