HomeMy WebLinkAbout0241 MEGAN ROAD - Health ayj
Location: Lot #_1.9--I'Zegan Poaa-_iSet�o Permit#29�
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-----Villi.ge: Hyannis- - -- -- -- - - - - --
Installers Frank J. Linhares
-- - - -
p-.0 m Bog 661 Mattapoisett;-tqass. - -- - --
Builder: William E. Dacey Jr.
- 112-We st Main -St:—Hyannis-—- - - -_
Date Permit Issued:-- 7/12/7 - - -- --- -- - - -
- ..---Date- Compliance- Issued :.
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No. tZ'.j..
F Z ......THEBO COMMONWE
ARQALTHF H OF MASSACHUSETTSE
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.. .......
----�OF...... ... . . ....... ......
.........
Appliration -for ti-4paiial Workii Tonstrurtion Vrruift
Application is hereby made for a Permit to Construct (-I-o-r-Repair an Individual Sewage Disposal
System at: /,�, _777 I
.................. ...................... ... 40�---------------- ............
or Lot No.(
Location-Address4,
..........
......... ---------- .. . .... .................... ..........................�. ........................................
0,Ojwne e Adress.
t ... ..... . ......... . .....
.................. ..................
Installer -�Ad
Type of Building Size Lot..../�/�.-OV--O..Sq. feet
U
Dwelling-No. of Bedrooms-------------3----------------------------Expansion Attic Garbage Grinder (
Other-Type of Building ____________________________ No. of persons__-______._______________.__ Showers Cafeteria (
P4 Other 5.Y.4 uses,----- --------------- -----------------------------------------------------------------------------------------------
e ----- -----------
-'iions p P'��IA---d _- --
�6 _g •
..............
.. .. ---------0
Design Flow.............. ...............gallons person per day. Total daily flo ------- ........ ------------gallons.
0 ---/Septic Tank-Liquid capacity gth------- 1 1! a eter------
.4, ete .......... Depth_._.-_____.-_...
Disposal Trench-No. --------- 1A .... .. 166� ---- V "Total leaching area_.__3-_vP_-%-_-sq. ft.
___ "V��RgtNel �---- ----
Seepage Pit No------------------/,, Weter.. ............... Depth below i t..... T
tal leachinc, -rea sq. It.
Other Distribution box Dosing tank
Percolation Test Results Performed by.................................................................... ..... Date-----_--___-___-___________________.._..
- -- ------------
Test Pit No. I----------------minutes per inch Depth of Test Pit.._.___..__..-__.._.I...... Depth to ground water------------------------
Test Pit No. 26......I..........ininutes er inch Depth of Test Pit____________________ Depth to ground water_-.-._-_-_--__-_____.._.
---------------- ------------- ----------- .......................................................................... .............. . .......t
0 Description of Soil------------------- .. ................. .......... .......... --- - ---------------------------------------- --------- - ----- ---
U .................................. --- ---- --- ... .... ;i--------------- ---- -----. .....I-- ------- ------ -----------
------- 0� ...... _ ........
ewn. ... ........ ----- ----- ---- ----------------------- -----------0'. 1 --- ----------
U Nature of Repairs or Alterations Answer when applicable..---------------- ------------------------------------------------......... ------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Indi idual Sewage sposal System in accordance with
the provisions of Article XI of the State Sanitary Code- ridersigned g4 i rt' erl, agrees not to I c tl e system in
operation until a Certificate of Compliance has be iss he board o e h. Yy (_o
Signed.-_ .. .. ... ...... ................................... ... ............. ..... ...............
/Dpte -
A
Application Approved By---------- .. .... . . .. ............ ........................ .... ------- -----
Date/ Y.
Application Disapproved for the following reasons:.............................................. ......... ...........I...........................................
..........................................................................................................................................................--------------------------------------------
Date
Permit No......................................................... Issued.---. ...... ... ..............
D te
4-- -
s. -
No......'r-'-Z--'---1--- ..............
THE OT9RDALTHCOFLMAEAL A;HUSETTS
IF /, r -
me
of.
"J"dov OF
Applira#inat -fair Ditipasal Works Tons#ratr#ioat Prraatti#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
y
S stem at
_7_�-----_ A,_�t�...............
Ar
-------------X, ------
/ f Location-Address or Lot No.I
Own
q dress
__. - -- -•-_________t--___--•-----------•-•--•--•------------ --•--- ........ .......... --•--••--------....--_ ................
essInstaller Q Type of Building Size Lot----j.�-f1'`C1'G1_.Sq. feet
U Dwelling—No. of Bedrooms------------ ...........................Expansion Attic ( ) Garbage Grinder ( )
A4 Other—Type of Building __.-______________'____-___ No. of persons---------------------------- Showers ( ) '— Cafeteria ( )
a' Other 5@Vutie�
Qtl .✓------ -------------------- ------.•.•.. -------_. ------------ -
Design Flow_____________ gallons person per day. Total daily flow— gallons.
W 'Septic Tank—Liquid cap*acit .- gth..__-•-_- ---- Wi h. e er................ Depth__-- - _-- •- .
x Disposal Trench—No `_��"'° d :-- engt _._ -- Total leaching area.. _ -a?' •-sq. ft.
Seepage Pit No.___.:.._f.' t eter__ _______________ Depth below i t.__.,� Total leaching ,rea.. _.___._____..sq. ft.
Other Distribution box (., ) Dosing tank ( ) (f ,���� 7/'�`/�'t` .
a Percolation Test Resulfs Performed by-••---..-------- ......................................................... Date------------------------------------....
Test Pit No. 1................minutes per inch.:'Depth of "lest Pit-------------------- Depth to ground water..-._---.-_----._-.-----
L14 ".Test Pit No. 2_______________ inutes er inch Depth of Test Pit.-_____-_ ________ Depth to ground water.........................
; _m .__.
lx
0 Description of Soil-------------------- __ __ ________._._ +-
-----------------------------=------- -- -- ••-- - • ... ---- -- ----
W ----------- -- -------------- '"--- `-- -- '" - :5` �
x L
U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------- ----------------------------•.----------------------------------------------------------------------- ...............----------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Indi idual Sewag isposal System in accordance with
the provisions of Article XI of the State Sanitary Code— ndersigned rt er agrees n t to lace—the system in
operation until a Certificate of Compliance has b iss the board o e h.
. . s
Signed-- ---- ----------- -=--------•------- ............. ----- --------- ----
7
Application Approved By--------- . -- -- -=------- ....."...... ....... �/
Date <.•
Application Disapproved for the following reasons:.............•---..____..__.__._____________________.________.___.___.___._._____.._______.__._________________
.............................................................••--•-----••---•-••---------•----••••-_-•__..
Date
PermitNo......................................................... Issued........................................................
Date
gTHEOMMONWEALTH OF MASSACH SETTS
BOARF HEALT......OF.......................................................:........---------.................................
err#if ir�#P laf �i1 �Ii�tatrr �---
THIS IS TO CERe7V;,That the Indiv' al S asposal Sy,00m constructed �orPepaired ( )
by------------------------------------- ••-----=•- ---•--
Installer -------------------------------------------
r 1
has been installed in accordance with the provisions of .Articlre�X1 of The State Sanitary Codg as described in the
r'.. .Z___.,"'`
application for Disposal Works Construction Permit No_____________ ►_ .._7.__ _____________-
THE ISSUANCE OF tI�1S CERTIFICATE SHALL. NOT BE CONSYRUED AS A G ARANTEE TFIAT THE
SYSTEM WILL FUNCTION SATISFACTORY. (�
DATE................................................................................ Inspector------.1 ` `,� ...................................
E COMMONWEALTH OF MASSAC SETT e
BOAR HEAL S
.. ... ......... ....... ..............�.------------
o. ..... ...� OF
N �------
FEE--o---------------
tlrip>a orbi r#i�aat rriati# . :,
Permission i ereby g` nted- - ---- ----- ----•----• • -•-•- +-�f.'t ..... ' ......................................
to Construct ) r Re ( n Indiyi 1 ewage Disposal S 5 e
atNo............... � ................... ..._..- ...................................-- - -------- ------ - ------------
Street
as shown on the application for Disposal Works Construction Per ---------- _._ -----`-�._//-;-'_____!7_L/__
----• ...... ----------
s and of Healt
DATE. ----------------------_-----
FORM 1255713S & WARREN. INC.. PUBLISHERS
SUBJECT TO APPROVAL OF BOARD DF-fFAf '
r,
YM
y4�
.4r by agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Namo .k....., ......... ................ ZZ