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Home My WebLink About0161 MEGAN ROAD - Health T J 161 MEGAN ROAD HYANNIS A=291-23 5 t� 1 � THE COMMONWEALTH OF MASSACHUSETTS BOARD Appliration for Application is hereby made for a Permit to Construct (' -15r Repair an Individual Sewage Disposal Location Ad or Lot Owner Address System at: 'Of - __-'--��- --'----'_-----------'--'-'--'-----.-_----------_-. ' ^��== Address �~� �m�� Tvnc of Building Size Lot-.�-��-'��z....Sq. feet Dwelling--No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building -.---------_' No. of persons............................ Showers ( ) -- Cafeteria ( ) Z Other Distribution 6ox ( ) t7 Dosin '- Percolation Test Results Performed by-------------------------------------------------------------------------- Date-------__---_-' � Tca Pit No. l-------minutes per iz6z Depth of Test Pit.................... Depth to ground water------------_--------_ r-T-1 Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water--------- p~ '_--_-.-- ...................................................................................................................................' -- � �� __--_.--- ---------------------------------------------------------------------------- Re airs U_ Nature of or Altcrationz s—Answer when _'-_-_-.-----._.-_.-_------------- ____'------'-_----'-'__-'_----_'-_-__-----_--__-'__-`_.------------_'-_'_-- ' g `".="`. The undersigned agrees to install the aforedesoibed Individual Sewage Disposal System inaccordance with the provisions of Article XI of the State Sanitary Code The un�ersigned further agpoers not to place the s stem in Led b operation until a Certificate of Compliance has bee issu, d by �� Application- - - Approved -'----'� =�--'-_--'-' ,-. Loard _°__��..~�°��.-------- Application D �rt6xfv�omo�nzrxuxonx�.-'------------.-.--��------------- ....................................... ......................................................................................................................................................................................................... Permit No......................... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT. .........OF...... ..... Applirativit for Disposal Worko,19atuitrurtillit Prrutit Application is hereby made for a Permit.A.6, Construct (L,)-'or Repair an Individual Sewage Disposal System at: ---------------------------------------------------- ------------ .. -------------------- e Loc;ttior or Lot No. ------------ ------------------ --------------------- ---------------------------------------------------- ................ ... --- ...... ..... ........... .......... .................................................................................................. ...; ...... ...... . Address Owner/ I _ _ 2 ................................................ ••-- Installe Address Type of Building Size Lot._..._._7 ----Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building -------------------------- No. of persons........__.____.____:_..._._ Showers Cafeteria Other fixtures --------------------- ----- ..................... Design Flow........... -51 7_2-----------------gallons per person per day. Total daily flow--------------2_6 ___-gallons. P4 Septic Tank—Liquid capac ... alldfis Length................ Width_._______...._.- Diameter---------------- Depth_--_______-_--- lia,f Disposal Trench—No.......... .. l,47_........... Total Length------------01.... T,9tal leaching area:_._._.. sq. f t. .... ... i�, Seepage Pit No....... e be otal leaching area_.__��`-e-g.•--sq. ft. Other Distribution fdox ( z C/ osing-4auk -7 0-4 1.4 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______:_________--__.--- -------------------------------------------•---•----•-•-----•----•---------------•.......................................................................... ------------------ ---------------------*-------------------------------- -------------------------------------------------------- - ----------- 0 Description of Soil................. :�------------------------- U�4 ........................... --f-I /�-------------------------------- ..... ------------------------------------------------------------- ......................................... -----------77---------------------- -------------- ------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.__ ..... ----------------------_----- ----------------------------------------- - ----------------------------------------------- ............................................................. -------------------------------------- -----i�------------------------------------------- Agreement: - The undersigned agrees to install the aforedescribed_Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The�un$lersigned fdrther a as not to place the s stem in Dee issued D u Le operation until a Certificate of Compliance has bee ed b b �yt Compliance K�issu board of heA7th. tied... I. .... .. . .......�K.......................... --- - ----- ...... Application Approved By------------ ..... ... .. .. .. ... _.;.......... V- Date Application Disapproved for the following reasons:....................... ------------------:..................... ......................---------------------------- ....................................................................................................... - - --------------------------------------------------------------------------------------------- Date PermitNo........................................................ ....7 D to THE COMMONWEAL-21rH OF MASSACHUSETTS B 0 A I'M F H�EALT t 0 F.... ........ .................................................................... ...... ...................... Trrfifiratr of Tomplia'M 1% THIS 1�CERTIFY, hat t"ivilual Se age Disposal'System constructed (L-)- or Repaired b ............ -- ---- ....................... . . ....... y ................ stallar - ----------------- ------------------ ------------------------- - ------ at.........................1�_ -------------!ac ------- ---- ------------------------------------------------------------------------------------- ...... has been,it[Aalled in accordance with the.provisions o Article XI of The State Sanitary Cod des ibed in the ap plidiic.iVf6FDisposal Works Construction Permit No------F.O.E................ dated---- ----------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL�,FUNCTIJDN SATISFACTORY. , I ,, 444,4 AA-el-4 .... . .............................. ............... --------- ........ .......... DATE. �!Z/....... .... Inspector THE COMMONWEALTH OF MASSACHUSETTS > BOARD 0F HEAL . ............OF..... .....7... N0-4�7a�� FEE------------------------ fflarb v w urtiujrry Permissipis her granted -------------------------� -------------------------........................... to Construct '-);or Repair an Individual Sewage D's osaI Syzsts� at No..... e� Street as shown on the application for Disposal Works ConstructionitN�--- --- _ ---- Dated------12 . ---- ----- ----------- --------- ------ -of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS it :q ,-b ., - r 1 .` ; • ,,. 1 _ »x;.`, 'J. +,,' "-1 `` 1 l A r d I >< 1 a 1, ` F A fir' v q,i 1 7 ,A ,� .'.J"� f. t A✓ �i,, Rt] 1, ". tk•- rl A F.,i Q ar, ?, F. , 7 , 1 ` Y. I 1,..* r ..ri C. ,!, r 1 r T. _ r,d t, , I. " t1 `,' r t.. 1 f .: A4 tad r ram!` -4.• Jt 1 - `... 1 i t D. J. k ` 1. I , " yF r t rd- —t V r A 7 ,1. t 7 ("{ M r cx 1 r s 5 tr . 1 u. { , J r 1 y , 'F r 1I,4r , ' A y' A ,, (��/ r J h �k Sf. + I 1 A 1 r F. 1 7 ,' , r .' - ( y 4. 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