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Home My WebLink About0166 MARCHANT'S MILL WAY - Health a�(19 d a LOCATION SEWAGE PERINIT NO. VILLAGE INSTA Ll R'S NAME i ADDRESS J �6155 00 ru fC a 6U1LDEA OR OWNER DA T E PERMIT ISSUED DATE COMPLIANCE ISSUED G � 0 K \ - • l No.._.U.Sx. .... . . Fzs$....5-0.0........._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town .....OF...-....Bamstable .................................-------------------•......•------•---....----•--- Appliration for Dhipvii al Works Tonstxnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ...Merchant Mill WaYx..HYa?? pos_-MA....o267 .. ..... ......--••---•-•--•............................................ Location-Address or Lot No. ...Robert A.. Scmihagm..................................................: lie=JM-Ut__Jia,U__Way,...H,y-amn zp-cat,----U.....Q2.64.7-. -- Owner Address a A & B Cesspool Service 7,28 BiY�op •.�'� �.,-.-�,YnX1�S.... Q �Q1 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............5...........................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons..............1......_-___. Showers — YP g -------------•-•--...------- P ( ) Cafeteria ( ) Other fixtures .. -------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic 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........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------•--------------------------------------------•--------------------.........------•-••-••.......................................................... 0 Description of Soil...........Sand ---•-••----------------------•--••----........---....---------•------------------------------------------•--•---------------------....._......--.. W x •------ --------------------------------------•---------•--------•-••----••--------•-•----•---•------•-••••--------------••••------•--------•--•----•---••••-•--•••-••--•-•-•......------••-•--•----- U Nature of Repairs or Alterations—Answer when applicable... ns.tallat7.m---of.ra..�.50Q._ga]1 on...pm.-cast, ... eptic._tank_,.1__distribution_-box-arld••a�--�, -• ],�,_...............................----........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'LUj 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 d o iealth. 4 Sign e . ....... . ......•-........ ...'-• -- -------..-----_ �� .�$�....... P ate Application Approved By..... - f�... �... . ......... ........ ------------10V_Vai....... Date Application Disapproved for the following reasons:.............................................. ........................................................... -•.......................•---..............--------------•-••-----------------------------•---------•------------------••------------------------------------------------•--------••--------•••...__.._. Date Permit No.-------- i........................................... Issued-..........10l 1/81- Date f ! J No-81--nSC..,...... Fxs$.....5.nAU............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --- ..... Town------..OF........Ba.mstable -- ----------------------------------------•-•--................ Appliration for Disposal Workii Tonitrurtion rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: A--XA....QZ647 ................................................................................................•. Location-Address or Lot No. --Robert A._SCX1hnJQX................................................... l erch nt.TF .I .WaY,�_..HY i] i �?o �.._? ..... atA... Owner Address W A & B spool_.Service•_______________________________„___„ __ 128 Bishops_Terrace,t_-Hyannis, MA 02601- ,-1 .......................... Installer Address UType of Building Size Lot.... ......... .........Sq. feet .-� Dwelling—No. of Bedrooms..............5...........................Expansion, Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.............1............ 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 41 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W - DDescription of Soil-----------..anc...........................•------------........-----•-------------------------------------- -----.---------.--------.------....------ x U --..........••.......................•---•...........--------•--------------•-•---•-------------•-----------------------------•--------•-------•-------•-----•---•--............---•-------------------- W x ------•-----•......................•-------•--••--•------•-•••-•-•••--•---•-••-----•-------•-•----••---------........................•---------•----•-•--••------•••-••-•------------•................ U Nature of Repairs or Alterations—Answer when applicable.. nstallationof a 1.500 galpm-cast,__ _ .............. septic tank, 1 distributior box and a leach field_, ---------------•--------------------------------................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T1T1E 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,health. I ! fix. }. Signed:f...-----•. ... -- . r....................., " rf ..---10� 1�81--..... 0l ppag 81 Application Approved By-----------. __. . ............. _..__..._... ___--- .................... Date Application Disapproved for the following reasons:................................................................................................................. --•---...------•---•.....-•-•-------•--•-•--------------------------•--------••--•------•----•-----------...•------------------------------------------------------------------------------------------- Permit No....•....81-................................................ Issued_..........10/ 1/81-------------Date------------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................a1of........OF.......Parnstable................................................... Aft %luntifirFatr of TontpliFanrr T Is IS TO CERTIFF Thai e Rdividual Sewn e Dis osal S-stem cons d ( ) or Repaired (x ) A B CesEpol Service, 1 zshops Te ce, -Hyannis, 2 <el by----------••----•.. .................. •---------•--.....-------•------...---------------------•---------•---....--------........................------------•-----•--------------- Merchant Full Way, Hyannisport, nd�Stau62.647 - Robert Scribner at...........................................6..............................-- -----••------------------------•----------------•-----------------------•----..........------------...-- has been installed in accordance with the provisions of TIT - ` of The State Sanitary Cod-- je bed 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. � 10/F 1/81 DATE. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Barnstable ............................... ...,®F.......... ..........................................•...•........•..•............. o No..�l....-�. - ... FEE... ....5 ..00.... Disposal Workii Twonotrudioat prrutit A & B Cesspool Service Permission is hereby granted ------------------------------- -------------- to Constrt��t ( or �2e it x) Individual Se we e D Sy t ,ere- t 1"�i� W y, Hyannisport, 0294"?' - } obvert Scribner atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No�:-.............. Dated.........10/ l/81 l ............. ----- .................................. 10/ 1/81 BoVf& Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS