HomeMy WebLinkAbout0185 GOSNOLD STREET - Health 185 Gosnold
:Hyannis
l
1
1
1 t
I, a
0
,I
I
LOCATION SEWAGE ,
!j%.j Ir j)
VILLAGE
>
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS; MA 02601
APPLICANT M=OBTAIIV'A SEWER
BUILDER OR OWNER CONNECTION PERMIT FROM THE
ENGINEERING DIVISION IVOR TO
CQN&TRUCTION
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 913
;;.� ,�=s
r; t,-�
' �_
A
-] E`
rr`;�
�1
1 �
. !
`nL. v�'
vo ���
'.
• �:
� ; •'I
/.
'� '
r
`��
No..$' ."`�.4 t` % Fss..$ .10.00 .....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
T own Barnstable
.................0 F.........................................................-................................
ApplirFa#ion for Bispaii al iftrks Tatuitrurtion Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
185 Gosnald St. Hyannis, Ma 02601
................
Phllh _ C Oheri. ..Location--Address... or Lot No. ..........
p 127 Hartman Rd. Newton, Ma 0219...............
..............................• ... . ..-- •. ..
ddress
W A & B Cesspool Service 128 Bishop's Terr n Hyannis, Ma 02601
----•••........................................................................•--................ ........................._........................................................................
M Installer Address
U Type of Building 3 Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansyn Attic ( ) Garbage Grinder ( )
PLO Other—Type of Building No. of persons........................:..:. Showers ( ) — Cafeteria ( )
Q' Other fixtures -------------------------------------- -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons .Length................ Width................ Diameter................ Depth................
s 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.---.................--.
G%, Test Pit No. 2................minutes per inch Depth of Test Pit............--...... Depth to ground water......---...............
....................................................... ..........-...........--•-•---•--•.........................................................
p
Descriptionof Soil Sand----•.........................................................•----••----------•-----------------•---------------•-------------------------......------------------
x
Install a gallon leach pit
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 TITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Complianc een issued by the board o i
Sign ...................... .............-- Q`�` � 7/5/83
Application Approved By............. � 7/5/ e
Date
Application Disapproved for the following reasons-------------•---------------------------------------------`.------------------•----------------:...--•---...._
.................................•--•-------•---------------•------------••--•--...-----•-----.....-----•.--.................----•-------------------------------------------...•••-•--------•••---------
Date
P , it No......_.3........-••----------• 7/5/ 3
8 - Issued ...... 8.. ................•--•----
Date
✓.r
ffi TO O� --r-, "�► .
No.. D ......._ FEs..$.10.00...........
THE COMMONWEALTH OF MASSACHUSETTS,,—
BOARD OF HEALTH
Town Barnstable
............................I..............O F.......................................
Appliratiun for 11ispos al . ,arks Tunitrurtiun rrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an 'Individual Sewage Disposal
System at:
i85 !Rosnald St. Hyannis, Ma 02601
................__......_...................................................................... ..............•----•...---••••--•-••••--•--••-•-•----••----•--•-...-•-•..........................
Phillip Cohen L...tion-Address 127 Hartman Rd. lfer t wi on'No Ma 0215rAA
............................................- ................... ...................... ...._......_......•........•••••........... ..........__...--J7---................
a A & B Cesspool Servib'dr � ,^ 128 Bisho 's Terr:`�f&nnis Ma 02601
Installer Address
Type of Building 3 Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansyn Attic ( ) Garbage Grinder ( )
p,l Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ..........................k..........................................................................................................................
W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons.
WSeptic Tank—Liquid*capacity............gall qs 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..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )'�.
Percolation Test Results Performed bY-----------------------•- "-�. ----•-•-•-----•-•----•••-•-••------------- Date........................................
Test Pit No. I...........:....minutes per inch Depth of Test Pit.................... Depth to ground water.........................
G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 p Sand-------- ---------- ---- - - ------------------------------------------------------------------------- ---------
Description of Soil................:...
...................
x
W ---------• -----------------------------------------•-•-•--------•---•--•...._------ ...................................... ..........................................................
---- - - - - - - - - -- - - ----------------------------------------------•-- ----
-- ------- -- - -- -
x - - -- - - - --------- ------ Tiis�all:-�a gallori�IeacTi--pib--------•-----------
U Nature of Repairs or Alterations—Answer when applicable._...:..........................................................................................
•-------------------------------•-------------------------------------•-------------.....------------........-----------------------------------------------------•---------------------........._..----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witli
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has�/ een issued by the board o h
7/5/83
Sign ....._--•--- ....--•-
! � 7/5/83e
Application Approved BY = r� .................... ........................................
I Date
Application.Disapproved for the following reasons--------------------------------------------------------------------------------•-----------------•••----......_
-•...............•--•------...---•-•-••-•---•------••---------------......•------••..._•••-•-••--------....-----------•----•-----•--••--•---••----------•-••-----•----------------•--------••-----•-_....
e.
Permit No $3 ....................................... Issued-.-•-••7/5/$3.....................Da...-•---
i
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..........................OF.....................................................................................
�u C�Crrtgfiratr of Tnmpli�anrie
A IHJSCk;4goiES8rIFWde;•hi.� eB3shopµ8 Ter .e H'y n sSyoe Oy&� ucted ( ) or Repaired (X)
bY-----------------------------------------------------------------•--..........-----------------•-----------•-•------...-----...............--------•---............-•-----••-••-•---•.....---_...._
185 laosnald St. Hyannis, Ma 02601 InstallePhillip Cohen 1
at.................................................................................
- -
has been installed in accordance with the provisions of TIY o fThe State Sanitary C?J$��lescribed in the
application for Disposal Works Construction.Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRU A GUARANTEE THAT THE �
SYSTE FUNCTION SATISFACTORY.
7/�/ 3
DATE................................................................................ Inspector... _._ ......... •--...--•-----•-----•---......-••--•-•-••••••.......
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
$3 SoD .
.................................OF..........---.............----••-----................ $10.00
No . ................. FEE........................
Elispuuak urk.9 TunutrnrtUan remit
A & Cesspool Service
Permissionis hereby granted..............................................................................................................................................
to Co c �sn l& P-a ii3 in Inliv� wage
8 Ma %lTfi S to�en
atNo............................. -•-•---...---•.......-•---•---•--------........._.._............--------Street
as shown on the application for Disposal Works Construction Permit No..$3.............. l�ated.....7_. ....$.........................
7/5/$3
--•--
✓ Oad of Health -
DATE..................................................................-------------
FORM 1255 A. M. SULKIN, INC., BOSTON _