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Home My WebLink About0107 OAK NECK ROAD - Health (2) f� e t x. v' ca. i e ti, i + e,` J a J F: 9'' F'3- &�z C? LOCATION SEWAGE PERMIT NO. � VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 \s��►�O BUILDER OR OWNER a� " L)/Zr®/y V i /®off D C 19 0 SSaL DATE PERMIT ISSUED DATE COMPLIANCE ISSUED / -�7 - F-3 td `S 09 ., �e � I'� � _ a .......o®.? 1 r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF��/HEALTH ...---- ...To" OF.......13A.. . .................................. ApplirFation for Disposal Works Totw4rurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: Lo-ation+Address or Lot No. 1! ` C._. t f' I../..................................•........... -------- --=-==T-------•----- Owner Address C. & ! '`' 1B.CS✓3�. R..k.._................i!://ttl........................................... Installer Address -.t(l Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............r`47............................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No. of persons....... ..--•__--__--___ 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....................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_--__-_______.___.-____- t14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................... a --••--------•---------------------------------•-----------.........-------------•------•--------••--......................................................... 0 -Description of Soil............ !y'd V -------------------------------- •--•--•--------------------------------------------- •-------------------------------------- •----------------------- ------------------... ------------------------ W UNature of Repairs or Alterations—Answer when applicable...._h</S7f�-_4,G:........10.0.4.....4!rA.L ..e, f- •..6t% C Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'i U 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has n ' sued by the boar of -• " Application Approve_. �4?�A / "Dat ? Application Disapproved f t owing reasons:-----•---------•-------•------------------------------------------------------------------------•---••---••--- ......................•--••--•-••---•-•----••-•••--••---••--------•-•-••---••--•------•-------------••••-••---•--..._.......•------•-------•--•-•---......-•••----•................................... p' - .•-.-Date 0.Permit No..... .2.--------------•-----•----•--------•... Issued---------•----.. j� ........... ate t� THE COMMONWEALTH OF MASSACHUSETTS BOARD �2OF HEALTH ----- w/�I Ol /�/. --....OF....... ST/3aC L - ---------- Appliratiou for Biupoii al Works Tonstrurtion Urrutif Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Lo ation-AAddress or Lot No. ,a/ .��! c'i3.t° + 7"i. 1D'oz >D- Owner Add ess w f� C r oa s =a.v� , z ,-� - 1 .......................................................... Installer Address UType of Building 0 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) per-, Other—Type of Building ............................ No. of persons::=.__. __.______--_-_- Showers ( ) — Cafeteria ( ) QI 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------•..........-----•---•--------......-----•--•---...------------•--•-......................................................... 0 Description of Soil---------•--SAA"O-..••.....•-----••-••...............•••••-•••-•-••-••--•-•-•-•----•--•••-•----•-----•.................................................... W V •-••------------•-••----••-•.................•---•••-•-•---•----••-•••-•-----•-•................•••-••--•-••...----•--••••-•-•--•-----••-----...•--•-•-•--•--•••••---•-•--•-•-•----••--•-....._..•••. W U Nature of Repairs or Alterations—Answer when applicable_.... __.____IQD ___.. !�_L ^ .��J.7�G .:2 ........6.:l �� Lr�¢G/5� °T -•--•------•........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLIm:, 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has, n issued by the boar of =� ---Da 0-3Application ApprovBy___: ,Date Application Disapproved t lowing reasons:--•------------------------•---•-----------------------------•-----------------------.._...-•••••--•--•..._.. .................. � --•••--•-----•...........•--••-••-•-•.........-•------.•. ................................ ................................... -Date _. 3 Issued-------------- 1 Permit No............. aze THE COMMONWEALTH OF MASSACHUSETTS p. BOARD OF HEALTH .Yt!................ OF.......... .......................... (9rd firate of Tomplinurr THIS-IS C CERTIFY, That the Individual Sewage.Disposal System constructed ( ) or Repaired AA by-/9 1_ ---- 'L 4 :f�!!1.. :------------140' ✓ss/odd: '12......0a..........................` �{ Installer 6VX/Y.!-4/- /I --------------- has been installed in accordance with the provisions of TIT r 5 f Th State Sanitary Code as descr'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 FJJNCTION SATISFACTORY. DATE . . 3 Inspector.... ---.... ...•...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,.z,- ........®F.........., ��,eeev s' ......................... „ l No...P. _. _. FEE..._..�C1:.Q.D.... Disposal Workv 01onutrudion rrutit Permission is hereby granted.—I.B.......0 vim_ /R AIL.. . ...............AY19/.!l.1-11.-5............. to Construct ( ) or Re air Q>4 an Individual Sew e Disposal System at No...10.7.......Oil. �d( �'?• i'� v/�� -- -......17'.1 ./1�L�/ •1 Strr eet as shown on the application for Disposal Works Construction Permit. N. .. . ...... Dated... ............... * 1 Board of Health DATE............................................... FORM 1255 A. M. SULKIN, INC., BOSTON