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HomeMy WebLinkAbout0306 OAKLAND ROAD - Health 1 . �aA��&nc( Rd a l ass . w r ,„ `s , ' d v i , u y . u t n .,.I .. 1 LOCATION G J �+ SEWAGE PERMIT N0, VILLAGE � ) G"Y A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER az DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /\ t 6.r� '� .w_ --� _� J� r� ti� � y n �z // P"� If Fj s I.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ............... O F.-.........................-........... Appliration for Di-qVoiiFal Works Tonotru�anolndividual n ermit Application is hereby made for a Permit to Construct ( ) or Repair ( Sewage Disposal System at: Lot. 306 306 Oakland Rd. Hyannis, Ma. ................. ............................................. --•-••----.....--•-------••-•-----•---•-•--••--•....-••••--•............--•••••••--............__. Location-Address 3o6 Oakland Rd. or Lot No. Mr. Nathan -•---.......--•------•-------•-----•--..i�.��>1i:�..Ms�� ...........................................r.. -Nathan - - •- Address W A & B Cesspooiw ervice 128 Bishops Terrace Hyarl ,--- ................:....... ,.a ---.....- . Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms...... ..................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons.....---._...------- Showers ( ) — Cafeteria ( ) 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. 3 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.....................--. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.---................--.. 0 Description of Soil........................................................................................................................................................................ x W -----•-•-•------------ ............................... .....................................................1000-gar--0vsr-Tow---(Stbrie Wmd)-----------••-- UNature of Repairs or Alterations—Answer when applicable..----.:`:.................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by the bovd of ealth. 9...... - � 9_ Date ApplicationApproved BY •......... ................•----------••• •-----......_ .....---•--.... Date Application Disapproved for the following reasons:------•-------•-------•---------------••-----------.....-----•-----------------•-•--•-••-----••---....------.. ------•--------------•--•-•--•---••-----•-------•-•--•••••-------••••--•----•---••-....................-••-•.......-------•-••-•-•----•-----•---...•------••--••----------••-------•----•---.....--•---. Date PermitNo..................................................._--. Issued......................................................... Date Fas �'S:��.._.W. THE COMMONWEALTH OF MASSACHUSETTS :_...;; BOARD OF HEALTH Barnstable :.Town.. ....................O F............................................................ Appliration for Di-ollustt1 Works Taniitrnrtion "permit .00 Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at Lot. 306 ............ _9a.k7and..Fi._.El�tanni.s Ma�............. :.3.Q Location-Address or Lot No. ..................Mr. ;ia:ban.....O nee.---.....--. 306 Oakland Rd. l.YA'%d&Jft.------------------_._. Owner Address W A & ...CesspooI._ rvim........................... . ..1ZS..r1shopa..Tar=ce...?Iy� n�a, ...................... a -•• - Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons.................:.._........ Showers ( ) — Cafeteria ( ) 04 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........................................ ,.a Test Pit No. I................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........................ •-••----------------------------------•----•-----..._--••..........•--.••--- •----•------....--.......................................................... ODescription of Soil........................................................................................................................................................................ U ----•-•------------•-•----•---. x ----•-•--------------------------------•---•-----------------------------------•-- --.....-•---...----------iDUC._�1---t�ver-�ffiow--(s�one--paelsed -•------..... UNature of Repairs or Alterations—Answer when applicable.............................................................................:................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system operation until a Certificate of Compliance has been issueJ>Ythe bgafd o ea`ith. ...................... ✓ �GJ f�= ApplicationApproved BY ........................... ...................................................... Date Application Disapproved for the following reasons:..........................................................................................................--- ......•••-•.......-••--........••---•.........................................••-•-------•--....._..........•-•-•---•••---•••....---------••----••-•..........••.....................---.............. Date PermitNo......................................................... Issued..................................................... Date A. t THE COMMONWEALTH OF"'MASSACHUSETTS BOARD OF HEALTH ..........OF......Baxnstatble °''fin.............. ....... ...........................................:.......... Tertif iratr of Tompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..:. .....A._&._B Cesspool..SeXyjgje ._........ - ... .._... =- ..... ............................•--......................................_ Installer at.............. q6 Qakland Rd...:.Hyannis_Ma...026_Q3 - has been installed in accordance with the provisions of TI 5 f T State Sanitary Cod!ls� ribed in the application for Disposal Works Construction Permit,No..... ......... . .................. dated.............._f� _.. �'................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE_ CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............:`.::-... -•��-•----g .................,......... Inspector ......-• 1 ..._1...............--•-- .. 2 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Parnstahle No. D' 3 ...... ................OF .........------.............-- ...--•-•--•--•-. F>a$...�...�. .... i �r,a tt1' di A,.trnrtinn Permit Permission is.hereb anted�, a rn to Construct (( or. air v dual a e Disposal S stem at No........ t? '.�� M� � nrtS Y .......... - ...................... .•------ •. street qq as shown on the application for Disposal Works Construction.,Permit No. �.�-- Dated.....7.�� .�' ................. ----... -•----•. ---• .... Board of Health ;DATE..............•--•--------- ......................................... FORM 1255 A. M. SULKIN, INC., BOSTON -'