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HomeMy WebLinkAbout0055 KINGS WAY - Health 55 KINGS WAY, H A: D LOCATION��✓ � . SEWAG 1 Q VILLAGE /�. , a I N S T A LLEIt's NAME i ADDRESS a 11 y G U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �. !'. �•� w w .R•�� ` � � � t �. t L. __. ` �� �� M �. ♦ !y ( ` _ 4� i .�� �� ` � s 1 ,1 � , 1 • � y \/_ `�'� ~ t i f,: �� 1 , ° - •-84 ®---- FRa...... ...15.00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T own Barnstable ----------.....................OF........................................... ......._....... ....................._...._.. Appliration for RsVasal Works Tonstrnrfion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: .55...1{.in&'_s--Za-Y.....HYann-i&,-.2M.....Q2LQ1................... ------•-----------------------•-•-•-----•---------•------•-------••-----------•--..............._. Location-Address or Lot No. Iloaal.d---Roger a........................ ......._._.... 55..King's-..Way.,.-Hyaunis - -�'- -.02601 -.........- Owner Address A_.&..fi_.Casspon]..Sewvine_,...Inc................................. 1�$..Ki hQp ..der ce,.•Hyannis, MA....02601•..... Installer Address Type of Building Size Lot............................Sq. feet U ...................Ex Expansion Attic ,-, Dwelling—No. of Bedrooms...................... p ( ) Garbage Grinder ( ) �`4 Other—Type T e of Building No. of,persons........... .............. Showers YP g -------------•-•------------ P ( ) — Cafeteria ( ) Otherfixtures ...................................................--•••--•---•-•-------•••••----•-••--••-•---••••-•-•---••-•--•--•---•......•......-••-••-•--••---- w Design Flow............................................gallons per person per day. Total daily flow........ ....................................gallons. WSeptic Tank—Liquid capacity............gallons 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........................................ a 14 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R4 ...........................................................................-.............................................................. 0 Description of Soil....Sand------------------------•-----.....•....----•-----.....----------•------------------------------•----------.......................... x w U Nature of Repairs or Alterations—Answer when applicable..____..irbs tal lati on .. .........�6�S..gaY�on.,...gY'e-cast, stone packed leach pit �overflow) . -------------------------------------------•-----------------------------•••--•-........_. Agreement: The undersigned agrees to install the aforedescribed, Individual Sewage Disposal System in accordance with the provisions of TITLi: 5 of the State Sanitary Code—The undersigned furtl r agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of •e h. 84 Signed .... =------- -- •--------�/12/ ��� 1 - Date ApplicationApproved By.................................................................................................. ---------•-------7/_.12/84••••- Date Application Disapproved for the following reasons:.............................................................................................................._ ........--•----------------------------------------------------------•--•-------•-------........---------•----•---•••......•-••-•-•--•-•-•-•-••--••••---••----•-•-•-----•••-•-•-•---•••-•-•----••••••--- 84- 7/12/84 Date PermitNo.......................................................- issued-...................................................... Date , l 'fHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town ......OF...........Barnstable A pliration for Disposal Works Tonstrurtilln Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an',Individual Sewage Disposal System at: •5 i ' r �:�... �}s�, -----02601------------------ ................................................................................................. ocation• ddress or Lot No. •Do cl--Rg4rs-----------••-----:••---------=---•----•------........---•----••- --5.5--Xing!s.. ......Q?..b01.........._..... Owner Address A & •��sspcl Seric�x= lr�c............................... 12$_.3a.shops..Terra,�,a,.:Hyarinis.,...MA...:Q �2Q1 Installer Address Type of Building Size Lot.:...:::....................Sq. feet U Dwelling—No. of Bedrooms......................3. _._._Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons._.___.__.__.4__----------- 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_.____________.. ix Disposal •l-�� -••.- Width o g l g ......................sq. ft. Seepage PitvNo._ _ .._._... Diametr . Dept below inlet__________________- Total leaaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.-;'........................................................•------------- Date........................................ Test Pit No. 1________________minutes per inch. Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descriptionof Soil••--;M4-------------•-------....•---....._......--•---------•--.._...---•------------••-•-------••••-•--•••--------•--•-••••••-----•••-••- V --•--•---••--•---••-•••----------------•-----•-...--------••---------------._._._..-•------•--•---•-----...•----•-----------•-•--•-••-•-••--••••--•••--•-__•-•--------•-••----------•-..._•-----------_. W iris tallati on of a 1,000 gallon, Tare-cast, U Nature of Repairs or Alterations—Answerten applicable.----------- ................................................................................ -stone--packed leach_•p9.t.•-.oy(overflow -._....-•-•-•------••-------_____••----•--•---•-•---- 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 fur er agrees not to place the system in operation until a Certificate of Compliance has84 �ss�y the G d th. Signe ?/1z/ =---------------------=•-- ............................................ --------•• - Date ApplicationApproved By.................................................................................................. ..................7/121&J:..... Date Application Disapproved for the following reasons:-------•-•••---•----•-•-------------------------------••------•-------------------............................. ----------------------------------•-----...--------------••-•---••--------•------•-.......-•-•••---------•------•--------•----------•••--•-•••••-•----.____-••---•------••---•--•--------._------_...... 84- 7/i 2/84 Date Permit No............... - Issued ---------•---- ....._..... -•---- ..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................T,own......OF..........Barnstable ................................................................. Trrtifiratr of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by---•.A..&_-H__Cassponl_.SerSims,...Inc...._1 _. 1 hog�__T x G ,...14Y t3 026Cr<..... Installer at.......-r35--K-ng' 02601--._A_QYald._Rgw= has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code ja�s described in the application for Disposal Works Construction Permit No.�"................................ dated---7AV— THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM WNIL FU CTION SATISFACTORY. DATE......? -------------------------------------- Inspector.------ ...- -----------------•--••----------•---------•-•--•----•-------..-...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T aw n Barnstable .............OF......................._........_....-•••-•._......_._.._.._..__......_._......._.... 15.00 No........... ,�L1� FEE........................ Disposal Works Tonutrurtion rrutit IA & B Cesspool Service, Ino.................................................................... Permission is herebyppgranted___________________________________________________ SS to Construct( K or=�se7ar ( H)arias Individual Q �re Doiialdyogers atNo... 5 •-•-- --------•-y_._..y_......-•---�••--•.................. D Street 7/12/8 ,. C7W as shown on the application for Disposal Works Construction Permit No, .'-._._---. Dated.....:.................................... ----------------- ---•• ---'-----------------------------•--------------------------- DATE Board of Health --. �----- ------•----•-•-•-•-•------------- FORM 1255 A. M. SULKIN, INC., BOSTON `t Als Ll i. .. ........ 1�0 L4 L V1,2-1 ------------ LL_i L-L -Cf Roll; ol M T-1-L 1. 0- 1- I S16! 1 L ILI I _ ! _l � __�___I_ � 3 a i -�.- I--1 -- �I-�'i �'j �I-_g ' _ ; .,_.�. b . `�. _ _ _,_ -�-- --- ,� � ,�__ ., f' I J-L- F v 19 1 rv.., -J`r,J MI ----------