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HomeMy WebLinkAbout0064 KINGS WAY - Health #Var, Hyannislgs A= 328 -001 ' A h i 174 HOLDER LANE, MARSTONS MILLS A=001-013 I t i a t I i V VI I li 1 r i,, . No. L4 D Fee 2 — THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPlitation for Vspo8AY bpstem Construction VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(VI/❑Complete System ❑Individual Components Location Address er Lot N J��i4N�✓i s 1 Owner's Name,Address,and Tel.No. 61/IeJA r�Q Assessor's Map arcel '� A A-, a b 1_ Installer's Name,Address and Tel.No. �'��f �37 Designer ame,Address,and Tel.No. J Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder KIP Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title ' " -- Size of Septic Tank Type of S.A.S. Description of Soil Cml Nature of RepairsopAjterationjsfAnswe when plicable) Date last inspected: Agreement: The undersigned agrees to 4nstruct' ntenance of the afore described on-site sewage disposal system in accordance with the provisions of Tit and not to place the system in operation until a Certificate of Compliance has been issued b _this B xp Date Application Approved by A I.. Date — j_at— Application Disapproved by Date for the following reasons Permit No. 2m, Date IssuedIf ----------------__ — — — - --- - — - G� t No. 1' (� a Fee �I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPfication for Zisposar 6pstem Construction Permit Application for a Permit to Construct( ) Repair(`�-)" Upgrade( ) Abandon(/❑Complete System ❑Individual Components Location Address jor Lot o s , Owner's Name,Address,and Tel.No. Assessor's Map `arcel PA A, 0 d� ✓ �j?j �f �� � ��Qf Installer's Name,Address,and Tel.No. .-5'Y,,0Z—�'L3 7 Designer ame,Address,and Tel.No. 2 3 w,o -AA4 . Z Type of Building: Dwelling No.of Bedrooms Lot Size _sq.ft. Garbage Grinder 41P Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.required) gpd Design flow provided gpd Plan ;Date J Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. )escriptio. f Soil 42 ✓x8 Nature of Repairs or A terations jAnswe when plicable) Date last inspected: Agreement: The undersigned agrees to ensure the�• nstructi n and maintenance of the afore described on-site sewage disposal system' :in accordance with the provisions of Title 5 o fie EnvirJental Code and not to place the system in operation until a Certificate of Compliance has been issued b this Bo d of Heal If i Date Application Approved by Date . Application Disapproved by Date for the following reasons Permit No. Date Issued It (-dk nG^ =- - . - - ------------------------------------------------ ----- -------------- - ----- _. -_ J L THE COMMONWEALTH OF MASSACHUSETTS t BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS , CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned, )by L` j 4fc:1A 1 S,_/" 4. 0 at (fir/k1 " t ZV La �(�;+9 I/�f11� �• has been constructed in accordance with the provi tonssoof TT"itle 5 and tfie for Disposal System Construction Permit No. UOS �f dated Installer L��! Qi'�f- t Designer #bedrooms 3 Approved design flow _, gpd The issuance of this permt shall n^o�t b•1construed as a guarantee that the system will" n .I on�de i ed.ILIA Date Ins ector - -- -- - - ------------- ------------------------"---- .. - No. Qllb ' l Fees THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS C2J s'� Misposal 6pstem Construction Permit /� Permission is hereby granted too Construct.( ) Repair( ) Upgrade( ) Abandon(i/) System located at (�']" fy/ h/ S J and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date / r l kl Approved by LOCATION SEWAG 64 King's Way VILLAGE Rw Hyannis, MA 02601 A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER Douglas Haines 64 King's Way, Hyannis , MA 02601 DATE PERMIT ISSUED 5Z09Z84 DATE COMPLIANCE ISSUED 0 84 S'h ru 1�. Tee es 0 ' TO xp o7r � E a� �o i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own.........OF.............Barnstable ..................................................•.................... Appliration for Diipnaal Works Toustrurtinn nutit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 64 King's,, ---....__ t M 2601 ...........•---------------•-----••-•-----------------------------------..._..--------.....------ Location, or W o Douglas. .................................................. ---.....--- ._ �..... . ---- .- W A &_ B Cesspool Service „ „ „„ 128 Bishops Terraceddr yannis, MA 02601 .................................... . . .... Installer Address Type of Building Size Lot............................Sq. feet U2 Dwelling—No. of Bedrooms..........................2...............Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .---•--•---•----•-------------------------------•.....------......••-----•-••-------................................................................ 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 ( ) aPercolation Test Results Performed by......................................................................... Date.................................... ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-----••-------------•----••--•-•-----•------•...-•-•---•-------•••....------------------•--.............................................................. 0 Description of Soil......9&Ud........................................................................................................................................................ x U -----•--•-•--------•-...---••••..................................................•---••........-•••--•-•--•-•--•-•---•-••-••---••---•--•---•---•-••-•-------•-••-••-•----••-•......---•--••-------•----- W UNature of Repairs or Alterations—Answer when applicable installation of a 1,000 gal ton, sectional e--cast stone_.1?acked _leach..Pit... oyerflaw 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 place the system in operation until a Certificate of Compliance has been issued by the bo•r 1 lth. Signed......................... ?.._----'................�... ... �.. ._5/09/.. 84 Application Approved By........... ,e..A„� ��i ....... 5/�9/ ................................. Date Application Disapproved for the following reasons:-------••-------------•-------•-----•------------------------------------------•----------------•--•----••-•--- ......... ............ -•---..-•----•-------------•-----•---._...---•- -••--o......•----•-•---------- ......---------- Date Permit No. W ............• _ Issued_....5O9�84 ._ ----------•---•--------•...--•---•-•--- Date rrm°��..... :.. o •--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................T own..........O F............Barnsta rle ......................................................................... , ppliration for Disposal Works Tonstrurtion Wrmi# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Y.a.. :laizn fi.t..."A..... 2601 --------------•--•- -• Location-Address •- •---•------•--------------•---- --------.....--------.........__.......-- 7ouglas�=ai.�c 6tF IL'-r? -` -- aY' ?yawn tS,!,..A.. Q?<p1............... ...... .......... - Owner W A & D Cas . Terrace,. Installer Address Type of Building Size Lot............................Sq. feet Dwelling T No. of Bedrooms...........................2 ................. 2Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building _____________ No. of ersons..........__._._..._..._._.. Showers —Type g P ( ) — Cafeteria ( ) d Other fixtures .......... 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit, No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................=............................................................................................................................................ DDescription of Soil SaTId. .......::......•-----------------...-•-•-•----------•--•----------------------------•------------•-------------------------•------------------------- U ---------------•----------•---------•------•--••......-------------•-•-••--•------•.........••--•-------•-------------•-•-•--------------••......-•-•-•-----------------------•--•....----------•-. W ------------------------------------------------•--------------------------------------•---------------•--------•--------------------------•-----•--•-----------•--------------••-••------------•------ installation of a 1,000 all on, sectional U Nature of Repairs or Alterations—Answer when applicable---------------------------•---. _ .-C�"t..... tong__rackeci leach fit (overflcw . -----.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T1T1Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued ley the bo rd,69 Ith. GCGGG ....... ------=�......`-�. -- ................................ Application Approved By........... 5/09?M� --------------------Date-------•-•---- Application Disapproved for the following reasons----------------------------••--------------------------•---------------------------------..........•......----- ..........-•----••--•----------------------------------------------------------------------------•---------------------•----•-•-•------------•--•--•---------------•-•--•-----•--------------••••------- Permit.No.� ------------------------•--------•--.....--_..... ` Issued -5�-.................................................at Date THE COMMONWEALTH OF MASSACHUSETTS F BOARD OF HEALTH .......... .........Tawn..........OF......�!rp stable..:................................. %-Eprtifirtttr of TompliFaurr THIS IS TO CERTIFY That the Individual Sewa e Disposal System c nst� ` or Repaired �c by..A_& B Cesspool Service, 126 Bishops Ter ace,p1:yanris, sl� 1� ( ) l ) .....-•....... ..........•----•-•-•-••---.....------------.............._.._....--•------•--------.... 64 Kin„°s WatWay, Hyannis, F.4 02601 DI�JL2��rc7 S 11,ii nes has been installed in accordance with the provisions of T ;Zgf The State Sanitary Code�Mrg-�ibed in the application for Disposal Works Construction Permit No......................................... dated_..._____..._.-.._.__/___-_......_._._..__..... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................5�09�8•.........•••••-----•-••-•-------------•----- Inspector........-----........---•--•---•.....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 cwn Barnstable .........................'.................OF Barnstable ........................................ OFL......... $ 15.00 ' No.. 4- -•_.... FEE........................ Disposal Worko Tonotra ion rrmit Permission is hereby granted. A dr.- D Cesspool Service •--•.............................................................................................................................. '"` to Constr ct (. ) or�Repair r( X) an Individuali SS rage Dish sal S. stem t at No.___. ..1_,ing s Vay, 1-.yannis, i'_a 02hC - DoiZ as wine s Street 84— 5/0 9/84 as shown on the application for Dis sal Works Construction P�mit /NNoo.._..................... Dated.......................................... ' -------------- DATE................................................................................ Board of Health FORM 1255 A. M. SU LKIN, INC., BOSTON