HomeMy WebLinkAbout0064 KINGS WAY - Health #Var,
Hyannislgs
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174 HOLDER LANE, MARSTONS MILLS
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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
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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