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HomeMy WebLinkAbout0017 LATTIMER LANE - Health 17 L_attimer Road. Sewer Hyannis, F A,r 288-,_152 C No. �I e+� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYieation for Misposar *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(K ❑Complete System ❑Individual Components Location Address or Lot No. 1 17 1-4-7-1 t at ER,L J t-4YA00 15 Owner's Name Address and Tel.No. �"c�Rr� NAMES Assessor's Map/Parcel a�' 5,4IJ Z:e>S(E (�,4 Installer's Name,Address,and Tel.No. 508"P 7 S$?-/ Designer's Name,Address,and Tel.No. 1.53 GdvLt S'� M Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) 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 Nature of Repairs or Alterations(Answer when applicable) &1ft Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He th. �gne Date `"a�',a/ Application Approved by Date 7 Application Disapproved by Date for the following reasons Permit No. e���3 £� L��j Date Issued No. - Fee ::::a5 THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWI�,;OF BARNSTABLE, MASSACHUSETTS Yes Applitation for Dispos41.,*pstr al istruttion Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components Location Address or Lot No. 11 l-4171(k EiE.W HYA6) V ner's Name Address and Tel No. �YES Assessor's Map/Parcel / s a.. (T11 U W 14CD(+u�r Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. r 153 S—r M Type of Building: i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title v Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) i AUNDotJ CcS`c r 5 i�c S4S°7 M k Date last inspected: { Agreement: . rThe undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in { accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He th. C77 Date <7 ; ' Application Approved by Date / r 0!'Application Disapproved by _5. Date for the following reasons Permit No. �j J Date Issued 7 ---- - - - ----- - ---- - ---- - - ---------- --------- ----------------------,.---------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(x)by COGWc V(: E-1(� l ClV�r/ (SZT L4,C. at ! `�TTI MGf( _ 1,A1C1C Y ��/ has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No�W.3 "_-_)4-/_5dated Installer eo4P134j LDEj e7%t /t1.t7 L« Designer I #bedrooms Approved desi flow•, , r gpd � f r The issuance of this permit shall not-be Jojnstruedias a guarantee that the system will i`c`ti'o as-designed. Dated '/ I inspector / i/Ua ¢� +y i No. �iJ ^of Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS j Disposal 6pstem Construrtion permit F Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(XQ System located at 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. i Provided:Construction m t be//completed within three years of the date of t s permit. Date m7l! � Approv �`'�� LOCATION SEWAGE PERMIT NO. s• V LI IAGE 10 & I III STA L ER'S NAME R ADDRESS U I L 0 E R OR OVINE DATE PERMIT ISSUED jo e DATE COMPLIANCE ISSUED J0_�_ � r W, s • . M tt� s g' e • A ' No..8Q..... - FEs 0.0............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............................. .Barnst Town...OF.... able-. Applira#ion for Biiipvii al Works Tomtrurtion Urrmit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: ............................ Location-Address or Lot No. Arthur Conley........................... -•--•---------------------------------- .---.026M................ Owner Address WW A & B Cesspool Service ....... - aa3 abops..'�.=aLQQ., ..M,------Q26QL. Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms...................3-_.._._--..--.-.--.--.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..........-2-------------- Showers ( ) — Cafeteria ( ) 04 Other 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 ( ) Percolation Test Results Performed by---------------------------------------------------- -••--•-•------------ Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water---_-----------..---.--. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------•--•----------•.....---•-----•-----•........................................................ 0 Description of Soil........................................................................................................................................................................ W UNature of Repairs or Alteration Answer when applicable-inst allati on__ofa 1.000 gallon__�re-cast, stone packed leach pit (—overflow . --------------------•-----------------------------------------------------------------------------•---....----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i I T L p 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 board f 1 th. . .Si ed--�- 9�18180............ Application Approved By..... �E .................. ...........9MAQ------- Date Application Disapproved for the following reasons:.................... ........................................................ ------------------------•-----------•--------•--••--.................. --------••--•-•-•-----...-••-----•------------•-----------•••....--•--- Date Permit No -----•---•---•--------••-••-----•---•--•--------.. Issued------------9/18�80 - Date No.80-_.. A 40 x Fms$...5.00............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ............Town....OF....Barnstaple.................... Appliration for Elhipoii l Work.6 To a,strurtion ram'it Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 17 Latimer Ln..e..H.+aru$s-As --•............................••-•---•-••----•----.........-•- Arthur C onle Location-Address or Lot No. Y______________________________________ 17_.Latimer Ln.A•-Hyannis,-•-MA- -0260 Owner Address a A& B Cesspool Service 128 Bishops Terrace, Hyannis, MA _02601•. Installer Address Q Type of Building Size Lot_____ _________ _________Sq. feet U Dwelling—No. of Bedrooms__________________3.......................Expansion 2Attic ( ) Garbage Grinder ( ) p-I Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. ....• _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ 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.................•-•---•-••-•--••••--- W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...................... rxq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 -------Mud•----------------•-------------- ...............•-----------------------------------------------___--------------------•------------- Descriptionof Soil........................................................................................................................................................................ x' W x' Nature of r or Alter t o —A wer when applicable-installation of a 1,000 gallon pre-cast, U stone pace leach pig overflow). ------------------------------------------------•-----------------------------------------------------------------------------------------------------•--------------------------------......_._..._._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT LE p 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 board—of l th. S. ... ! f - 9/18/80 9/1 Application Approved B -•-•--- --/___•••..... ...-••----: Date Application Disapproved for the following reasons:------•------------------------•-----------------------....-•-------------------------------------.-......_..... ................••-••._.._...---•••--•-••••---•-----•--•---•--•--•-••-•••--••--•-._......-•--•--•---••-•--•••------••-•-•••••••••-•-•-•••••••--•--•--------------------•-•-----•-...----------•••-•••--- 80— 9/18/80 Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF.....................................I............................................... Tlertifiratr of fP omptiattrr THIS I TO CERTIFY That tll��e Individual Sewage Disposal System construct d ( ) or Repp•fired (X ) A & B &sspool Service, lh Bishops Terxa.ce, Hyannis, MA 02�01 - 775-62 __- by.. - at•• 17 Latimer Ln., Hyannis, ..MA 02601 - ns ru_r_Conley-----------•-----------•-----------------------------------------------•-- •• - •--•-----•----• ..... ----•--••• - has been installed in accordance with the provisions of TLC Hof The State Sanitary Code as d s ribed in the - --- 9 1 f80 application for Disposal Works Construction Permit No________________________________________ da.ted.....-...-.-.---1 --./.....-_--_.-_--.--_.--_- THE ISSUANCE OF THIS ZERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY gInsp DATE .. . l- . „ y 2 jrf � i w� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80- ; ......Town.......OF.........Barnstable No...._.:. FEE....._...5.00..... Uiapaoal Morkii � as r i n anti# Permission is hereby granted A & B Cesspool Service - ---------••--- ••-••••-•••••-••••---••••---•••-•-------•-------•••-•--••••••••••••------•-••••••-•---•-....••••••-•-••••---_.... to Constr tc ( ) or Repair (( X) an Indivi ual Se. e Disposal System at No..... Latimer Ln.,__Iiyannis••-•02.01•-- XXU Conley---------•----------•------------------------•---------------••-•--.......... Street as shown on the application for Disposal Works Construction Per •.two.--?$���._____ Dated.......... 9f'18�80 � . - 9/18/80 Board of Health ' DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - ,