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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 _