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Home My WebLink About0504 OAKLAND ROAD - Health 504'Oakland Road , Hyannis r A 272�-�0614 t f r i ` 0 P LOCATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS 6a cv��_� /A�<e«_� TO I U I L D E R OR OWNER D A T E P E R M.I T--, I•S'S Ul D DATE,CJO"MP1lIANCE ISSUED: / �$ � � ../ '�<. �r. '� 41{ I 6 ir�� Iy� 1� Cy i"�i S I �� I C �' 'r� �. � ,5�-- �� . � CS r� � � �; r5 _� �. f .� � t ,. � �. C, �` � - �, � � Ii �. '4t§ ^r'e,.? ��. ^�r , ;�s. '� > c� NoFzcs..... ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HEALTH a> .. ......OF.....f..:.:.. -. = ----------------------- Appliration for Diivoiittl lVork.5 Tonitrnrtion Vanat Application is hereby made for a Permit to Construct ( ) or Repair (�a Individual Sewage Disposal System at:``,, ......--•- ®F---..�11P71 d......� ----••-•-----.... -- ----------------•-•••---------•------__-__-- -__------------------__----••------•---_---_ �( ocation Address or Lot No. _.. .1.��s /- -- --------------------------••---------•---•----__ ..........-. ....-•----..........--^---......---........_...--- ��Owner Address . ..--------• w SS O�.............................. ....................................................... Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms._.. .. ._Expansion Attic Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ---------------------- --------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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........................ fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... •---•---•--•----------------•-----------............------.._.......-----------••-•--••-•=••--------......................................................... 0 Description of Soil........................................................................................................................................................................ x V ---------------------------------------•----------------------------------•-----••----------•-------._.....----...-----•••-•----•------•-----......................................................... -------------------- ------------------------------------------------------------------------------------------ ... •------------- --......... --------------- •........... U Nature of Repairs or Alterations—Answer when applicable___..___.�.�__._.__. ®® --------------------------------------------------------------••--------•-----------.-...-.........---••--------•--------------------------------------•---------•--•---------------•---•••-••-...-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance, ith the provisions of TITLE] 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 the board of Health. Da Application Approved •- ..................:..................................................... --•-�-�•f � PP PP ....... Date Application Disapprov for e f ollo •ng reasons: - ................................... . ... ......--------..........-----....•- Date PermitNo......................................................... Issued........................................................ Date F No....E =........... Es...... ...- THE COMMONWEALTH OF MASSACHUSETTS BOAR® PF HEALTH Gv., .....OF........ ��/ ..'1 . ...................... .X;yliration for Bigpoiitti Work.5 Tonitrurtion pamit Application is hereby made for a Permit to Construct ( ) or Repair ( Gam"• Individual Sewage Disposal System at: . 'G<<... .._W/............. ... Location-Address or Lot No. ....._... e <� ..--------•---•---------------------------------- ----------- --•-••-•-•-•----•-•--•------.......---.............--- / Owner Address w . .. ..............•.......... ..........-•------------•-••--•-•-••------•--...................................-•---•----•--- Installer Address Type of Building Size Lot............:...............Sq. feet U Dwelling—No. of Bedrooms.._.}.................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-------------------------------------------------------•-------.....----------•-----•-...............................------......._......--•-------......... ODescription of Soil........................................................................................................................................................................ x U •----------------------------------------------•---•-----------------•------------•-----------------•-•-••----------------....----------•----------...-----•----------.....-•---•-----•-•--•------•-•--- W --- -----------------------------------------------------------------------------------•----------------------------- ............................................................... 04 L /DoO U Nature 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 in operation until a Certificate of Compliance has been issued by the board of health. ign v....4,-t<-t_g.....•- ..�'�?. � �,�7 / , -- Date/. �.r. •••-•................•------------_....---------...--•-------••----- ............................:...._.... Application Approved � __ ____..._r__.- _ Date Application Disapprove or a follow ng reasons----------------•------••-------••----------------------•------•---•---•--•--••......•----- ......••----...... ....................................--••-•••••••-•••--•-•--••--•--------••----•-•...................•......-•-••-••......-•--••--...••••-•-•••-••--•••••-•-•----•-•-•----•-•----•-•----•••--•---•..----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........1..0 w ...........OF...... A.. i�/S..7. '. .Ze...r................... Trrtifiratr of f1�omphatt r THIS IS TO CARTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (4f�� by ;C ,? �. - 1_ .-�!.�04:✓----------------------------------------------------------------------------------------- - / I taller f d� �s?- G ...... at.. --�------`--------- 'Q . has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Coderjs Scribed in the application for Disposal Works Construction Permit No...��..:"::l�"_.Z37........_... dated_..._' ��J -------------------------------•-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W1 NCTION SATISFACTORY. DATE...11 .: . .--••-•---•.........---•---••-----•-----•••---•-----_.. Inspector... ----------------------------------•----------•--........-----.....---••--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No ..�. ../�.1._ .................1.".cvv ..OF.........;.-�ai�'�' ��7'!9/j, y..-- ................. FEE_.l' ....... topaoat//�� ork� �unot nrtUan rrmit Permission is hereby granted -.... " S�==`�-'-r--- ---•-•- to Construct ( ) or Repair (Z,.�-an Individual Sewage Disposal System U Street as shown on the app icat' n for Disposal Works Construction Permit._ ,.__Dated.. ............... ............. ....... --••-•----•...----•--•-----•-------------•••--•---•----.........-•-•--•--.••••. r Board of Health DATE �fi :.. ........................................................ FORA 1255 A. M. SULKIN, INC., BOSTON ' AsBuilt Page 1 of 2 LOCATION, SEWAGE PERMIT NO. na VILLAGE f�y/art/itl i� INSTnA LLER'S NAME a ADDRESS eL -sQW�An BUILDER DER OR OWNER DATE PERMIT:.ISSUED 'v A, t' 0ATED"N1`'tMCA F' SS.UED WL 0q lVa Ili L••�, 1� den Kr 0. I' http://issgl2/intranet/propdata/prebuilt.aspx?mappar=272061&seq=1 2/7/2017