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HomeMy WebLinkAbout0016 OAK NECK ROAD - Health �y r�' ":..4` =yam•,�`� No.18- Fmc 5-...©0............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -------------------- -Town....oF......Barnstable.................................................. �!� .fit irafion for Biapa�tt1 Works (�1�nstrurtiun rrutit Application is hereby made for a Permit to Construct ( ) or Repair (X .) an Individual Sewage Disposal System at: a 16A Oak Neck Rd._z•_Hyannis,__Ma. Location-Address or Lot o. John Lyons _ 16 . .......... .............. ...................... Owner , Address a A & B Cesspool Service 128 Bishops Terrace:_ Hyannis, Ma. .............................. Installer Address Type of Building Size Lot................. ........Sq. feet ' Dwelling—No. of Bedrooms.__"._-2------------- __------------------Expansion Attic. ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons__2....................... Showers ( ) — Cafeteria ( ) a' Other fixtures ____________________________ _ W Design Flow............................................gallons per person per day. Total daily flow.......................-....................gallons. W. Septic 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........................................ 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 x Description of Soil-------------Sarid---•--•--------------•-----•--.._.........-----------------------. -----------------------------------------•----••------......_...---...... l W VNature of Repairs or Alterations—Answer when applicable:.__ ne.t.allatiol] _Qf---a--�,'.qQQ...gallon... leach---pit....to---replaca.--a...cavetT1n4.... ------------- -................................ ` Agreement: The undersigned agrees to install .the aforedescribed Individual Sewage Disposal ys e -in accordance with the provisions of L ITi_.; 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,, e�! e Signe __ 11/29�78.._.. ' Application Approved By...... ,____ .___ ._.4__ ___.�-/�._�����___ ii/2gI`r8Date Application Disapproved for the following reasons:....................... ---•-----------•---•----•----------•-------------•-•-------•--------•••----•-.._..---•- -•-•------•------•...........................•--•-••-----------------------------•------.:.-----...--•--------•-••----•••••-----•--------•-------------------------------------------------------•-•--- Date Permit Nola .............................................. . Issued-.....-----••-•.11�29�78.................... i Date R rt No. 8.+. FEs 5:,.QQ,............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................... wo►....OF..... :r .ta)A0--------------------------------------------------- App iration for Disposal Works Tonstrur#ion rrilii# Application is hereby made for a Permit to Construct ( ) or Repair .) an Individual Sewage Disposal System at: Rd.,t-*--. .......... ...................................................Z -•-- -•....... .................••. Location-Address or q To Jahn Ly Win ... Oak �dssa .. Hyannis, ..................... ...._...._ . ---------------- --_.... .------ -----••...... .. Owner Address a A & B• Cesspoq Service 128_ B shvps...Terrace, Hyannis. Ma._ Installer Address Type of Building Size Lot................. .........Sq. feet aDwelling—No. of Bedrooms..................................................:............................Expansion---Attic ( ) Garbage Grinder ( ) p 1 Other—Type of Building ............................ No. of persons__?2--------_............... Showers ( ) — Cafeteria ( ) Q' 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........................................ Test Pit No.'1________________minutes per inch Deptiv.of-Test Pit.................... Depth to ground water........................ Test Pit`No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------------•-•--.............------•-••.._.....----......_........................................................... ODescription of Soil............`34=d.......................................................................................................................................=........ x 11 - •-........•-•-•••••••.. W . -•-•••-••-•-. •-------_••••. •• ---••-. UNature of Repairs or,Alterations—Answer when.applicable__..I18. a"leti fon___of--_a...1 leach---Pi-t...to... e-place..-a---Cava=li .------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT LE 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 board o al Signed - •---- -••••- f?� 78 Application Approved By ........................................ Date Application Disapproved for the following reasons:........................ ---------•-------------------------•------------------------••-••••••--............._ ------------ ------------•--......-----••------....------•------------------------------••-•-....._.__...------------------------------------------------------...------•----------•-••----- Date / 9/ 8 PermitNoy:';=?0"'•-•----•----•................................ Issued---------••-•--1 --- ---•--�•---•••-••-•••-•--- 7 Date .S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................Town.............OF............Bar1' at able........................................ TrrfifirFat,of Ti mpliaurr THIS IS TO CERTIFY, That the Inu v>dualSew zge Disposal System constructed ( ) or Repaired ( ) by..A_.-oc._73• -D—pol . ervice-:._ 1�.23__ i haps__. a gage- y ' ;r� :s..i Ma._... 4260]-,X Installe at .. .. flak__ ec 8. .,-- �nri�------��`-•----- -----�o n-�yone-------------------------------------------••-•••--•• --- --••- has been installed in.accordance with the provisions of TITLE ` of The State Sanitary Code as described in the application for Disposal Works Construction Permit NoN__.__. >f01/•_-__--___- dated-.. 1���:�__7-8................... THE ISSUANCE OF THIS ':CERTIFICATE SHALL NOT BE ;CONSTRUED G RANTEE THAT THE SYSTEM WILL FUNCTION SAT�SPACTORY. DATE ........ .` . .._ .. ---••--------- --------• Inspector_ ,...--•---• - -••-•••• ...•---• ............. ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............Town.............OF..... ... .B.twat.able FEE........................ Disposal Works Q.Tunstrurtion ramit Permission is hereby granted. .. q�rr.:�t.__ a?2r i s to Construct ( )nor Repair (X ) an Individual Sewage Disposal System at No...1Qak . _r►...Hgttx r + ;R .-- c�YtsttTri ......................... 1 Street as shown on the application for Disposal Works Construction Per o... ___ _________ ted..... 1 •--•- •... ••-• -- ................ oa f alth I M DATE--------- � _ .................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS