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HomeMy WebLinkAbout1019 IYANNOUGH ROAD/RTE 28 - Health 1 �'o / �' i a ,, 0 e } a ��� 0 ��I a LO•CATION fl SEWAGE PERMIT NO. VILLAG /cdr? rto f . , INSTALLER'S NAME & ADDRESS Trucking & Bull zng f Hyannis; Mass. 775-0828 B UILDE R OR . OWNERcea vA" v1 � DATE PERMIT ISSUED ���/eL DATE COMPLIANCE ISSUED �� �� c � �� 1 � � _� (�°\__�` 4 �>. W v `G i .. 1� �-' yyy w`\ V ® © W � ' `� Q � � � � a n � � � ��..� � � �� � -� �, �, a1 L &CATION SEWAGE PERMIT NO. / v � A-- o0 �- /CGS-2 1-- VILLAGE I N S T A L L E R'S NAME & ADDRESS Trucki i2g d.�' Bullc ozang 142 Corporhfinn Street Hyannis, Mass. 775.0828 B U l D E R OR OWNER s� 19r-7 A %�/`Drv► S Ce) DATE PERMIT ISSUED 3 �«��� DATE COMPLIANCE ISSUED___ � O 4 � S � l• l,. LOECATION , SE PERMIT NO. 0 C- WA �- VILLAGE P/-z� %-KRAIG MUM ,p INSTA LLER'S NAME & ADDRES $. rucking & Bul v{i g Hyannis, Mass. 775-0828 8 U I'L D E R OR OWNER �Es 7- S--7 oe DATE PERMIT ISSUED DATE COMPLIANCE ISSUED_ �O Z— pW Val Ie QQ -:Z No..... Fiii& =f2.................. THE COMMONWEALTH OF MASSACHUSE77S - . BOARD OF HEALTH .. OF.................... ......... ................... ...................... .......................................... Aplifiration for Dispoiial Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal y - s tem at: ex. ?79 4- , V. . ....... ......... ........�/ ... ........................................ .....A....................... r,a on-Address I.. .......Tr z v.,,.T......... ...... Owner, Address ;r .................... ......................... ..............Y.,k ............ .......... Installer Address Type of Building Size Lot.... q. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building .... ....... No. of persons.....................------ Showers Cafeteria ( ) P4Other fixtures ...... ......... ..................................................... .... .................... ----------------*....... T 0--ga ns per person per day. Total -._�low..................................... s Design Flow....—,.. ..... _gallon 9 Septic Tank—Liquid*capacit ..16#0galloiis.. Length................ Width....._.._:;:_-- Diameter__.__.__........ Depth....___.....__.. Disposal Trench— No............ .......... Width....V.............. Total Length._._...___ ...... ,.Total leaching area....................sq. ft. Seepage Pit Nos-ib- "Diameter....L.0... ...... Depth below inlet.._............. Total leaching area....` sq ft. Other Distfibutio Z box (.4 Dosing tank Percolation Test'Results Performed by.......................................................................... Date--------------...... --------------Test Pit No. I................minutes per inch Depth of Test Pit___._............... Depth to ground water.___.................._. Test Pit No. 22.............minutes per inch Depth of-Test Pit__._____....__..._.. Depth to ground water........................ 0 Description of Soil ...................................... ..........0............................................................................................................. ............ 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'Ll"TLE 5 of the State Sanitary The undersigned further agrees not to place the system in s b n s ed by. operation until a Certificate of Compliance has bo o hea Sign .. ......... ...... .. .............. ...... ...................... ate Application Approved By___jC:2_.A.t.... ...... .. ... ................................ ......... 0... ............ Dace Application Disapproved for the following reasons:_.Z....................................................................................................... .........................................................................................................I............................................................................................... Date PermitNo..................................0---------------------- Issued_..................................................... Date Flcs....35._............... THE COMMONWEALTH OF MASSACHUSETTS 'BOAR® OF HEALTH ..........................................OF.......................................................................................... Appliratioq for Bi-4mi of Workri Tofaiitrurfioit panfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy tem at L 11 ..... ,.... t� ..... ........At ��� .....•...!!RT _.. .................. . _ ... cation-Address ° or rr Owner Addres "......•-=-•�' +P4 .._.. i ds ................. . ............ -, N 1-J�.. �--..---... -!� Installer Address dType of Building Size Lot... ,�.Q. dSq. feet V Dwelling—No. of Bedrooms.......................... .Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ...... No. of persons...........:................ Showers ( ) — Cafeteria ( ) Other fixtures . --••- W Design Flow..... ...... ....:. Ql gallons per person per day. Total daily flow....... ...............gallons. WSeptic Tank—Liquid capacit .. gallons Length.............•.. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width...:�.............. Total Length................... Total leaching area...... ........sq.. ft. 41 Seepage Pit No ..._. Diameter..._1.0......... Depth below inlet....Co............ Total leaching area.... �.sq. ft. Z Other Distribution box ( Dosing tank Percolation Test Results Performed by...................... ................................................... Date......................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground.water.................... f, Test Pit No. 2:...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------•............•••. :.......................................................................------------------------------------ 0 Description of Soil.......................................................................................................................................................................... x t3 = W ••- ...... ..................................................... 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'TT LIE 5 of the State Sanitary The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n ss ed by t e bo ��o"heaoe Signed-A. ...... f...... ate Application Approved By _�-1-e--- ----••--•-------------------------- --------- V....... Date Application Disapproved for the following reasons------------------------------------------------------.......................................................... --------------------------------------------•-----------------....------------------........,..-•...-----...------------.....------------------------------------------------------------------..._------ Date PermitNo......................................................... Issued-..........................- `Date w Ny, THE„CO'MMOrj WEALTH OF MASSACHUSETTS i. BOARD OF HEALTH *J' / .......1.... ,..........OF.......... ................................� H �rrtif iratp of tP 1a t �inatrr THIS I TO CER FY, at the,�Individual Sewage Digpoosal System constructed ( or Repaired ( ) by-----------------�%...•• ...1.,� ....------------------. ----- ---------- ••---- ............L............. ........... Inst&Uo atf •- •• 9 1 ......... ----------=------------------------ has been installed in accordance with the provisions of TIT L 5 of-The State Sanitary Code as described in the application for Disposal Works Construction Permit ......... dated.__............................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRIDE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................••...............1.�..� 1J............-•---...._..... Inspector................:.. ........................................ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH No.::C�s�_-ll.�... ......... -...............OF.---�-�-��c �.—.-<'�./�..".1��............--•--.............---....... FEE..... f �io�oo�al ork� �o�a��r�r#ioat rrntif Permission 's reby granted.....__....'-..........- ---------------•--------------------..........----------........_.........-----• to Construct ( or Repair (+ ) a Individual Sewage Disposal System at No..._! �`..-----/=3-Z_........:� - ----- ..r. -- Gl ------------------------------------------ .. Street as shown on the application for Disposal Works Construction Pexmtt No..................... Dated.------------------------.............. .,, g� p? Boa o Health DATE..... ` ' %'9,=(--------0---------•----------------•---•-•-••.•-•••-. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS '� LOCATION SEWAGE PERMIT NO• VILLAGE / / t/ ` 7c� N S T A L L E R'S N A.M E & ADDRESS �-pucking d�' Bulldo�,ang t Hyannis; Mass. 775-0828 �5-7 /I B U I-L D E R OR OWN ER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED _i , d 73l r/ `. .. , �u ocl J oX � _ � off• �.-����� ��� i = LO=CATION , S E W A PERMIT NO. V I L L GE l (PT-/ INSTA LLER'S NAME & ADDRESST 1 rucking & Bul t g 142 f GPpGo..asen ccs care_. vt� Hyannis, Mass. 775.0828. RUI'LDER OR OWNER 11 ,44 d DATE PERMIT ISSUE ® 3Ii1 ati , DATE COMPLIANCE ISSUED. yta y r LO=CATION SEWA E PERMIT NO. o VILLAGE INSTA LLER'S NAME ADDRESSc- It �i„ t g �`" Hyannis, iAOss. 775.0825 R U I'L D E R OR OWN ER f7e fir/ l�/�,�► S �� DA T E PERMIT ISSUED S 5� DATE COMPLIANCE ISSUED13 6 `d i0 �J d i s day sic v ��•�kr��1Ueo� j g ............ January 26, 1986 FROM:. Mr. Raymond Blackburn . 943_.West Main Street Centerville,-MA. 02632 TO Board of Health Town of Barnstable Hyannis, MA. - r Mr. John Kelly: I, Raymond Blackburn, hereby declare that I will not construct any buildings on Lot 1 of Assessors Map #622 and as shown on .the drawing .... by. Tibbetts Engineering Corp. as dated on 1/16/86 s.:.. 4.: this restriction will be valid only until connection to the tcxa �M�4 sewage. system is made available. The area of Lot 1 that is to be restricted is 3.67 acres which, is adjacent to Lots 17-18-19-20 as shown on the drawing by Tibbetts Engineering_Corp. PjAymond Blackburn er of Lot 1 Assessors Map #622 Town of Barnstable, MA. Subscr and sworn before me this oZ�n pay Of _19 `jl�� r My CamLission Exp' s No Public