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Home My WebLink About0094 LINDEN STREET - Health CUB�i.S �ilo_� 7� LOCATION i SEWAGE PERMIT NO. rr VILLAGE INSTA LLER'S NAME & ADDROi ' R U It D E R OR OWNER DATE P.ERMIT ISSUED �_3/.`� DAT E COMPLIANCE ISSUED 1 + ` i � r n o. C' n a No._.79:n... 00......... THE COMMONWEALTH OF MASSACHUSETTS -BOAR® OF HEALTH ---------- ----""...Tomn.........OF..........Barns.tab.1.e.............................................. Appliration for Disposal Works Tunitrurtiun frrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 9 4•--1 i.ndan.__S.t...,...H,3r_annis.------------ --------------------------------------- Location-Address � or Lot No. G0-11e n............ 5_4_...T� x�r1. ... _,.....Hyannis........-........................ Owner Address A•-&•--B•Cess•P.o-P,---B rYie •-_--.._..... ]�2$:-Bsho-ps...Terrace„...Hyannis 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 ( ) a' 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........................................ aTest Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------••-•--•--...._..----•-----•------------•---..._...._.._.__...•-••----•-----••---........................................................ Descriptionof Soil sand._....----•----------•--•----------------------------------------------------•------..•,.--------•----------•-------•---------•-••-.........-- •---------------------------------•-------•---•---•----•-•----••--------•--••--•--••-•-•--------••------•-•--•-•--------,,,-----,.-----••-------•------••-•------•-------------- •---------•-- U Nature of Repairs or Alterations—A wer wh n a icable................In ss tallati.on-___o_�__a...1.,.Q(1Q__g-al 1.on stone packed leach ..............................................it overlo . :........•------------------=--------------------•- ........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 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 k thWbo d healt .Sig d .. ....... ...............•--:.__......... Application'Approved By---•- d6�/j. .. ••-'.aW I/ �-� -- _7� Application Disapproved for.the following reesons:............................................................................................................... r Date �. 1 31/ .. Permit No.:..:--� -- Issued------------------J `79 ---------------•---- Date i No...��— ..._....... Fps.. .5 i.100...'- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... :'. !.� ---......0F.......... a�tah e............---...------.................---- Apo irafto fl 'r Klispos l orkg Tons irnrtion• itermit Application is hereby made for a,Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .. Location-Address or Lot No. .--- .......................... ......... : . Owners Address ...... p� 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......4................... Showers ( ) — Cafeteria ( ) 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rz:, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....,........:......... P4 ------ -------------------••_-.--•-------------.-_--•----__----------••--•-----------------•--•-••-----•-----------•-•-•-----------•--•----•-----•---- ODescription,;of Soil........................................................................................................................................................................ x Us ----• = x •--•------•--- ------------------------ ••... •---•--- ••••....••••-•••----•••-••-•-------•---••-•---••....... -•----•-•-••----•-------.....• ••••------•------- U Nature of Repairs or.Alterations—A swer when ap licable............... - job-.fu9.F.-• •. -� J a13.On stone packed leach ...........................................................it (Ove�flOw�j ••-••-••-•...•••••----•-•••----•••--•••-••••••••-•-•---........................ Agreement: The undersigned agrees to install the afor�sc n wage isposal System in accordance with the rovisions of TITL%p 5 of the State Sanitare ees not to place the system in operation until a Certificate of Compliance has een issued by the board of health. 0 ei 0�7 Application Approved BY - ----------- ....•------------•------ � �----------- Date Application Disapproved for,•the,following reasons:..'......................................--•---------------•-------•------------------....................... •--------------------------------••-------•-----•-•---------..._..-------....----------_-.....-----...---------------------------•------•--------------- Date - _7.4... Permit No..__._`�Q�. --- •---_...: Issued............. •............. ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town etebie .........................................OF..... ................................ .................................. ��. �rr�ifirtt�le ,af f�nm�li�anrr THIS;IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( )j:nor Repaired (X ) Instal er ---.GnI elext............_.....•-•-•-••-------- ;; = i ha )b s een-installed in'accordanceiMth the pkovisions of TITLE j,�The State Sanitary C b��tytliq►gi application for Disposal Works Construction Permit No.`9t, ------------------------- dated---.- - .•.`----- , T4,E ISSUANCE. OF THIS CERTIFICATI;'SHAz NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEI h WILL FUNCTION SATISFACTORY; DATE 2 0`� �.�7 � .�� a ,r .+t -�y h r _ *.._ `".,Qjnspector ............... �^' ..;yv,.... ..mow ...;.�z:- < , •fir .�'2_.. , _ .. c t('t s,q urt,'.��^-, '•- i:"' f . u '�" ,,:.Y '""" i'"g'C"5,�4t b�`r 'r Y33!'AY".`'' L"4�':�* .' " -W ya. "t'"..ir >�'+Sb.. rt.f ms.eu:.we k:,o.�r. �S.{ ,,mthr :�;.,.,, s ,:•: .:- .. r.0 m.,,.'�,�`rti', 4a+,{ . el.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ ......OF....:B ......... No._7.5�................. FEE. i�1..=IIL1.. ...... A ..Disposal Works Q-110notr ion permit Permission is'hereby grant(A----¢---B---Csssp al----Sep vtc� e-y----12&a-:B1 ShQ.:J y--Zex, _ Hyannis to Construct ( :) or Re r ( an Individual Sewage Disposal S stem at No...9� bind en -1yannis-------- lJllen Goyld en = a. Q , �--.. Street - - ----�� t .1�_�1. ..!---`------•---•-•�^-�J+ as shown on the application for Disposal Works Constructii mit ao a _ � ...................................................... -------------__- --•--•-----.•-•------ ar... - It ... ..,:::.. - • Board o Health DATE...-•-------------------•-- vim\ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS