HomeMy WebLinkAbout0033 HARBOR ROAD - Health s . 33, HARBOR ROAD 3
H 4, HYANNIS i
A = 306-174-004
ASSESSOR'S MAP NO: & PARCEL
LOCATION SEWAGE PERMIT NO.
II' 04 � V 1� 0-j `66 Z yS
VILLAGE
�►(AV,
INST LL' ER'S. NAME & ADDRESS
ram' 3, , E
FD)
I ak 5- dV%5 JAA 3 w V_-to.
B U I L D E R OR OWNER
kk kit'n,f 66,
DATE PERMIT ISSUED
DATE COMPLIANCE IS SUED2 �
1
�� ,
s
�_ r
a
° 3 �
-� -r ',�
b
P-
�a1'^���
,.
- r �.
MAP 306 — Dated 17Y-y A= .
�4 - No..��..�� F� ...-- ....�.......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH P
........ 7 .-----.....O F.........e...111MS .......................................
Appliratinn for Uhipoiitti Works Ton0trur#inn rami#
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
................__ --__ - --
........ -
-----.----.------......_... -.-.---/__ ..4 ----•---•-=.........__.--........___-•_...
ocatio d ess r t No.
O< .. ..._ •....____.--•-•__ 00 - e--------------------------------------......
ewnr ss
Installer Address
1z ¢� 3
U Type of Building Size Lot____....,e...................Sq. feet
,., Dwelling—No. of Bedrooms____ _ __ ___ __ Expansion Attic (A/1� Garbage Grinder (IJO
Other—Type of Building art? 1 No. of ersons____________________________ Showers
P.t yP g � - ------ --------- P Cafeteria PJ)
a' Other fixtures __________________________________
W Design Flow_________________________j_ __..........gallons per person per day. Total daily flow-----3 30.....__.___________.......___gallons.
WSeptic Tank—Liquid capacityl494®_gallons Length.A?.' "._ Width___.r�� _:_ Diameter______"______ Depth.s'.
x Disposal Trench—No_ ____________________ Width.................... Total Length................. Total leaching area....................sq. ft.
3 Seepage Pit No........../_-------- Diameter_____Id Depth below inlet..... ....._._.__ Total leaching area.A4!_1....sq. ft.
Z Other Distribution box (X) Dosing tank ( )
aPercolation Test Results Performed by.....A ______________Date_______ ............
,.� Test Pit No. 1......!:......minutes per inch Depth of Test Pit.....�2......._//Depth to ground water______ _____________
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+' .............•••••---•----•--•• •---....___--•---------------•-- ----•----•------
0 Description of Soil.....1 T C�—.c?' /1 �.- ayo-•--- '� l- '"/o------•---•----...._...
x
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------•--------------------------------------------------•---••----------•-•__._ ••••••••-•---•---••---••---•••••-•----•--•-•-••-----•--•-•-•••---•----•.....................
Agreement: -
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ccordance with
the provisions of iIHE 5 of the State Sanitary Code—.The undersigned further agrees not to e the system in
operation until a Certificate of Compliance has be issued b th board o ealth.
-
Si ne .......
Date
Application Approved By............ L •-__-•___.
Dat�
Application Disapproved for the ll wing reasons-------------•-----------------------------------------------••--•--------------••-•-•-•-•-•---••--...••---•..._
----------------------------------•----•--------•-----•----...----•--------•----•-----------•--------•---'•-•---------------•-----...--•---••-•---•----•------•-•----•------....__ Date
PermitNo........................................................ Issued_.......................................................
---- -- Wv�__- D�----------------- - -
No................_....._ F$s......... ... .
THE COMMONWEALTH OF MASSACHUSE17S
_ BOARD
OF HEALTH
!N'.......................OF...-.-.1�.... ! Yt.. . _.._y..._._.__..._._...._..._................_
Appliration for Disposal Works Tonu#.rudion rami#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
....:...........___ !'.>1..f......_.. 1�. _ ...........�L �9w�5 --............../-.•--_.._.......---y-•••-•.../4.....
........................._...
...............
.... /J -!`/ ocatio.. ess ...1.. ................ . ......... .v....... �x. or=l ..................._.....................
//� Owner' ( - 11 Address
/ ....
� C� o
.............................. -•--...--------..._.,...... ......_. ....... .............
.-•
Installer Address ,z ¢7
Type of Building Size Lot... ...................Sq. feet
Dwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures __....--••----•-•-•---------••------•----------------......
Design Flow.........................rf>...........gallons per person per day. Total daily flow..... .................__.........dons.
Septic Tank—Liquid capacity!S4�-..gallons Length�9._._4o__::.__ Width..$�I.... Diameter................ Depth.____ £....:_.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft.
Seepage Pit No........./.__._.... Diameter....Z5�.......... Depth below inlet___.............. Total leaching area.Z4,.7._...sq. ft.
Z Other Distribution box (x) Dosing tank ( ) _
Percolation Test Results Performed by.__.AL_L._.<.4�'_ ...�= !14 . �;! �._.___.. Date......9"l _:. r'�._......_...
04 Test Pit No. 1.....Z.......minutes per inch Depth of Test Pit....�Z_.....}Depth to ground water ...............
1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04
O Description of Soil.....1 .7--- s'. ................��!r o-�tl � �.../�✓; �.,�/A--•-•-•-••-•--------•--
-••----- - --...�. ••--•-••--•-----_- .1...
W
V ....................••-•----...----•---•- . --•------------------....----•------••-----------•----.........._....---••------......._•-•------ ••--•---•---.....---._.....----•----...._-•---•-•---
W --•--•-•--------•-•-••••••-•-------•---------•--------••••-•--------•...................•--•---------------------•---•---.._..•----.......•---------......••---•-•----•----•---•--•------•-----=-----_..
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 TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to ce the system in
operation until a Certificate of Compliance has be"n issued/by the board €health.
f
Signed..... s�!!l .'1 .Ir t!` ..._ /..%.. �E .
- --- - - -• _..._.
Date I, -
Application Approved BY.......... t1- :.. ...... . _?D2aW-
Application Disapproved for the f ll wing reasons:__...--•------•--...-------•----...----••--------------•---•---------------------.............______________
-•--•--•......................................•-•----•-•-•-•--------•--.......--•-------------........:..:_......-------------•---............-----...-------•----........._._..----•-•__----•....._.._
Date
PermitNo.......................................................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........74-M-' I.............OF.....3.-6n ..............................................................
T iif utt#r of Tomplittnrr
THIS I TO CERTIFY-T That the Individual Sewage Disposal System constructed (k) or Repaired
by_ !�--••-• ....................... ( )
i.5:.! _. .................•--- ------.. .__...------•--••---..:_..._..-------•---••-----•--•--••-•-------................. -.._....:
L -I.... er r5
has been installed in accordance with the provisions of T-IT _ o The State Sanitary Coe as d ed in the
application for Disposal Works Construction Permit No.�_. _.. ................... dated-- z 9
.3_ ... t •-_-••--------_-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FU TI N ATISFACTORY.
DATE......................... 5� ........................... Inspector_.../_........................................................
THE COMMONWEALTH,OF MASSACHUSETTS
BOARD OF HEALTH
No... w.................OF....!�.Ga�Glsj�:.Y-- ,............................................ Fss..`��...®� ..
Disposal Works Tono#rnr#ion Vrrmu
Permission is hereby granted..............................................._
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo....................................................................................................................................................................................._...........
Street ��
K (r
as shown on the application for Disposal Works Construction Permit No.... ...........:°. D ted.._&, --y -.
------------------------------ --\0. - �..---..-.---::::::_
! Board of ea th
DATE.............:. •-••../ ...� ..
FORM 1255 A. M. SULKIN, INC., BOSTON t
Sn
12i•00 2o:G
Al
20 I-
,CO-t u a f.
12,1473 S.9. Mz4" - - - A'I - - - -
on,�E
i;. - - -- - - 4 2' /da�tlio-t
OoU 1r0y,0;� Road
J v v _ Ll0 wide
.Co-t 3 a `� a �• ;� d
O 0 6-
�3,8 z3.2 4 m
2 3'
I-6 �� 6'�i�.rt
T P W/2 4,tone
r® -267 a.s�
,y
z4.o I/�00
24.9
s7K. l 0 Dzwe P x
Ato J,i& No Sca!-e 7 is�. ;.. n_ I.. .
a ndax. �ca.Le I 30.
N Date 3-12-86
N N rA
1000 C-,S.7.
W/2 •atone
Iq Cap e C,-c,i.�
u9
/d yas;,tii 4, Ma. 0260
,Sketch /3&.t o g .Carol .in /dgar ni d., Ma.
9o,t QZL n 9 R tch"
/Sej.4 to t..0 ;aa ditown-on a ptarc ae td ad .in
gatns to I�egi4 t ry 9k- 386 Pq- 88. .'
£•teuatiom4 ahown ate on M.�..C. datimi..
��te �ijerr� l��Ze �a� o� T ec�th
Beat hit #p-3582 I
rude
Wit. �. Jacobi
No wa•teA e mounte&ed
.tate eti l r,
etc. : I .
.top
21.E
ncedium ;
-A OFh4�'y���
e f•. ,y
H. r�.1
FARDI � f
I: ti
No. 899; O
412E p�
act.cd .'��Sriz0.:rL�`''