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Home My WebLink About0047 MARCHANT AVENUE - Health 47 Marchant Avenue Hyannisport A=-286-024 No....l,C.2:26-_d ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .......!..t?!�...1U.................OF........:�1�....LST.'ac81, ..... Appliratiun for Biupu,oal Workii Tonstrartiun Frrmit Application is hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System at: .. ..............................................T" A ...p0.l.r........ .............•--•--•....... - ....... Lo ,ion- ddress Lot ......................os�v ..I ! ..._......- 1►-/.e.rer�1.4�+►cT' E� - '.4!u1ts(�� -T', Owner /!� fAcjdr�s� ..........�..... .. .............••-...-. �'( ......................--••-•••. a g '..._.g- ►� .... !mac. µa�aa�. ss Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...--. _. .Expansion Attic ( ) Garbage Grinder ( ) P4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixt s •---•--••--•-••••-------•-•-•--• - W Design Flow............. . ........................gallons per person per day. Total daily flow....................1..(.fl...............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......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................---.. 0 Description of Soil....- 1v 4I._.Tn....Ft.LL9t .....11-!4�Q.Q_x....._�_�__��i .V..b � T� ��_Gf��D►T'�Z u Wd... - ............13-1...............................................-- ...-------------------------------------------------•-------...---------.................................... --------------- ........................................................................................... ..... U ature of Repairs or Alteratio s—Answer when ap licable.............................................C �3b-1�• POt!C.-. kc Agreement: The undersigned agrees to install the aforede ribed Individual a isposal System in accordance with the provisions of TI'1IS 5 of the State Sanitary — The unders' urther rees not to place the system in operation until a Certificate of Compliance has b iss d by e b rd o iealth. igned. ..............-• ...... ... ........ ----•-......•-••••......-----•• , vs � D to Application Approved B --.e!. ------- -- L. � Date Application Disapproved for the following reasons:.............................................................................................................. -•-----•-••-----•---.......-•----•----------•----------------•---•-----•--------•-......---.....----------••••••••-•-••••---••-•••--•----••-••-••-•-----------••-•••-••--•-•---•-----•••-••-••-•--•----- Date PermitNo......................................................... Issued....................................................... I Date No................_..... cJ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -t 7.... ApplirFation for Disposal Works Tonstru.rtiun Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: `4 �a ^ ..�- ----- - a:M7.......... - 3 # r •Lo+fa ion�A_dress ` a of Lot No. 1i�T 5':E�.:� _I.?l : ....... i6•i ) ................... pe ,A6�t3k' i �_ Vcv... ` �`9Aa!J ` Pc'�a��, Owner A dress k1� Installer_ 'Address tel: l lay Ftr_�_z�F a �. .. . ...... ............................ -------- -- , ddres A s ' ........ ........-----•----------.-•---- � d Type of Buildings Size Lot............................Sq. feet Dwelling—No. of Bedrooms...-.--%"�t`�^r� : z_�=..................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aI Other fixtures ------------------•----••------• ... • . W Design Flow.....•........ ............................gallons per person per day. Total daily flow_.__._....._._............. ...............gallons. I:4 1 Septic Tank'—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No.........................Width.................... Total Length:i =.............._.Total leaching area....................sq. ft. 3 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................... O Description of Soil..' W 0111iat --r4_ IF{ 1'=t-C 15,A9_1)..---- •-�k'1 �• �� t�tit U .. �2� f ............................................................ ........------------........-----•---•---------------•----•-----------------------------.....---•---- W ..........................-..................................................................................--•--•••---••-••••--:--•••------•--••-••--•-•----•-•................. •-----------•--• V Mature of Repairs or Alterations—Answer when a plicable `�``�� t--�"t . f"4V.='� a�` Poo L..`...... ' � ' uj i TI+ ,( Er 5V C, - is t+ .t ......... Agreement: The undersigned agrees to install the aforedesribed Individual Sewap.Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned�fur' ther�reest to place the system in operation until a Certificate of Compliance has been issued by the board offhealth.,,,,.y ,, ,✓r .SI•+�-•'d / / \ �„' dI': _f V^.. P -_dew C Application"Approved;;By.................................................................................................. _ Date Application Disapproved for the following reasons:....-......................................................................................................... ..-•-----------------•------------•------....---•--•-----•--•---••---------------•------•-•-•-------------•..........•--------•------•-•••-••-----••-•-•--•••••-••-•••---•-------•----••--•••••.......-- Date PermitNo............... '�.........................•----._..... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH ..............��.dI a I................OF................. ., 1�d . , ' "'.............................. Tn tifiratr of TUMpliFanrr THIS IS TO CERTIFY, 'Ehat the Ind4vidual Sewage Disposal System constructed ( ) or Repaired by `- 0 t ' Installer k at.. �_ g C t�� t VAIL.c.�o c" ��`6�-� � R....�� .... ... -�)��-�� has been installed in accordance with the provisions of T&t' >XJ�The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated.--..-----...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE - S GUARANTEE THAT THE. SYSTEM Ul7I F,E7NCTION SATISFACTORY. DATE..Z:--- Z•--•.................................................... Inspector...-----. ..•-- •--•----•---•---•--•..........----.......-------•••-•---.•--•- THE COMMONWEALTH OF MASSACHUSETTS « � BOARD OF HEALTH .......................................... .................. 10' rf,.1� No......................... FEE.... d...... Disposal Worko Tnntrnrtion amit Permission is hereby granted..., »:! ( = ----- i:... o I-t'�----I•N- :.t 1 -••...................... to Construct ( ) or Repair (,? ) an Individual Sewage Disposal System at No. °1 t c sµ,�-l�l l_. �, ......... 'C i t,l t S ra ( 'Joe- tP ►o kk v`1! -- -• ..... •....... . .... Street , as shown on the application for Disposal Works Construction Permit No............. d e_ ........._._............ /2 --�s'-e t, ................................................... -�----It. =----------------...... Board of Health DATE................................................................................ f FORM 1255 A. M. SULKIN,ANC., BOSTON LOCATION SEWAG PERMIT NO. VILLAGE I N S T A LLER'S MA► Ill E ADDRESS d U I L DER OR OWNER ate. DA T E PERMIT ISSUED r2 82 -� DAT E C0M ►LIANCE ISSUED1_� o c w _ l w �,p N N 4 D ® (p �I ti