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Home My WebLink About0053 LEWIS BAY ROAD UNIT BLDG A UNIT 4 - Health -,r 53 Lewis�Bay-Roadli -� Hyannis-s / Al=-327`—' 225 i! Units A.B.C.D_F & F II fc--2 LOCATION SEWAGE PERMIT NO• VILLA ,G/E ALL ER'S NAME i ADD R E S S �� R UILDE OR Og INNER DATE PERMIT ISSUED _/3_ � DATE COMPLIANCE ISSUED Y+c�� C Q ?� o O n� Gu ON t i � • I I r 82- _ Fuim THE COMMONWEALTH OF MASSACHUSETTS = BOARD OF HEALTH Town OF.........Barnstable. ............. ............................. Applira#ion for DiipngFal Workii Tonotrurtion, Vrmff Application is hereby made for a Permit to Construct ( )' or Repair (X ) an Individual Sewage Disposal System at: Ju.60.1........ .........•---------.....------•-----•------- -:...----------- Location-Address or Lot No. �e17.t�1_�i�sll al_�ger alists................................... 4_3-Zewi&--B&y.-�- r- 42fiE}�.._.. - Owner ddress aA &--B Cesspool..._--Servic e......................................... 128__Bis us_Terrace,___Hyanni s_,__MA_:`__02601___-___• Installer� Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........1...............................Expansion Attic ( ) Garbage Grinder ( ) '_l Other—Type T e of Building No. of persons .................. Showers — W YP g -----•---------------------- P ( ) Cafeteria aOther 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........---------------- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ tx p SaridT--------------- --- -- Descriptionof Soil........................................................................................................................................................................ W -••--•--•---•--•-•-•---•---••-----•-•---------•-•---.•---- -----------------------------•--.........-----------------------•--------------------------------- .................................... •--•-••---•----------------------------•--------...-------------•---•------------•-•-------•-•----••---••------•------•-•--. •---•----•--• -• --- •-- ----- V Nature of Repairs or Alterations—Answer when applicable-ir>�stall�t ol�-.r3i 'l rI sac-tank, and a.1,000lech..pi#...with--t.he..ztip>a,lation..t-lat---theye--be-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance�vith the provisions of TITILZE 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 h Signed /i/... !.... `- i_( Z13�82 .............. Application Approved BY = -------•- /13/82 » D•-............... 2 Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------=-----------. ............................•-------...........------------......--------•---------------.....-----------••-------•---•-•-----••--------••-•-----•---•---•--•---•-••----•---•--•••--•-------•-•...--.--- 82- 4/13/82 Date PermitNo......................................................... Issued....................................................... Date No.....!??-n--.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF\ HEALTH ........OF........Barnstable ---------------------•••---...-•-•--------••--••... AVV ira ilan for 11ispsal arks Toustrnrtinn rrtnit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: iS*.. ........ .....................•--...---.....•......------...-------------................................. Location-Address or Lot No. r.> .Pe1zt �.. esltcal. .. .... 43-.Bewis.--Ba; Rd.. H t13 ---------=` _...... Owner Address W A & B Cesspool.....Ser+dice.....-•-•----•---.....-•---....-•------ 1.2� Disnas_Terrace,.-.Flyranr�i_s� PiA 02601 ,-1 --......-- ..•.-- � . �-Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........... -----_____..•__________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons.......l.................. Showers a YP g P ( ) — Cafeteria ( ) P4 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 ( ) a Percolation Test Results Performed by.......................................................................... Date....................... ............... Test Pit No. I................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--------_-------.---_--- - ODescription of Soil-•-••-•••SELTid----------------•-••------....-•------------.....--••-------------.........------....... ----•-_...---••--•-•••---•....--•••......--- W U Nature of Repairs or Alterations—Answer when applicable..installation..Df._a._l.,_OOQ._�a l l s�nptic-•tank, and 1,0001.each... it-_.with..tke..stipul atAnn._thet..there._be...na.Alteratlons._tfl__tba._present._premia.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TII:�'p 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 Af heal =Z -__ r/ ..... ��,�f_ �� 4/13/82 Signed .._ _. . G 2�2........ ......... � Application Approved By......... :_ D4/l3/82 Date Application Disapproved for the following reasons-----------------------•---------••-•------------------••------•----------------•-----------•••-•--•••-----•--- _........•-•---•------•----•----•--•--•-••-••-•-•-••••-•-•-----•---•-•-••--•---•-•...._..---•-••-••-•-••-••............... .•••------•--------------•---•-•-••---------•--------•-------------•------ _ 82- 4/13/82 Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Barnstable .............I..........I.................OF.................................................................................... wrrtifiratr of TomVlianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by... - - 128 Bishops Terrace Hyannis, IA 02601, _ s. . Installer at.......53B--Lewis_Bay Rd. ,.[yannis ^A 02601 - _ Dental._Medical Specialists has been installed in accordance with the provisions of TIT I,"; j of The State Sanitary Co-1- as described in the application for Disposal Works Construction Permit Not"...../,6',�`................... dat----------'74............................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............�� O � ...-----••--•••-------•--•--•-._.._....---• Inspector..................... .............. 1' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............T.0Wn OF......F,.3nstable No ............:j..._ FEE ...$.S.00 Bispsal Workii T' ol Service tat ututt rrntit . Permission Is hereby granted A & B Cess. ..............••p-•--------------------••••------•----••--•-•------ ---....----•..............-------- to Constru t ( ) or Repair X) an Individual Sewage Disposal System at No.....�� --Lewis Bay R �' Hyannis, MA 0, 01 ➢enta.l Medical Specialists ....---• -••---•--••.-•--- --------------- - Street2.... /13/ 1......... as shown on the application for Disposal Works Construction Permit No..................... Dated........................................... ,/`f?'• `^'' -------•------------- � -= ...... B oa r of Health DATE............. / �-------- -/82--•------------._._....---------•--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -