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HomeMy WebLinkAbout0118 OAKVIEW TERRACE - Health 118 Oakview Terrace Hyannis A= 268 - 275 1 i ,S { h 31P f C z A r F" R9 -4 r p 2 s r A r 3 (; H -♦ 0 rr _ cLIA 40 rw wVN un v l 09 1 J t - � Q a 0-.. e� .- .�' .� � ► r 1`'r �.'1 �o , r a3' ���` � � '� �'�-, ,�a_ f � s A Nd _.. .`-�:..... THE COMMONWEALTH OF MASSACHUSETTS pill BOARD OF HEALTH ... ... ----------------_0F....................................................................................................:.._._.._........ a' Applirttttun for Bwvviial Works Tonotrur#tun ramit � Application is hereby made for a Permit to Construct ( -1"or Repair ( ) an Individual Sewage Disposal System at: , ....:... a.Q Ld... .7-..---.Q J��Z ...' ��r. /Y�[r t!Z�? .....-•---.... .......................................... _I,ocatioZ.;.lddrW,ss r lot No._� ..... ?> - --.lyt......�?9.....•---....-----•------•--••--•----... ........... �7ylc�� !dl ..................... JI caner Address a 1,1�3 s ------------------------------------------ --,�. r v Installer Address Type of Building Size Lot... A �f�......Sq. feet Dwelling—No. of Bedrooms.:_:._3..................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( :24 — Cafeteria ( ) P4 Other fixtures ............................ W Design Flow........................: ...........gallons per person per day. Total daily flow..... ......................._----gallons. Rr Septic Tank—Liquid*capacityl5_.Aa.gallons Length_.. Width..5-0.... Diameter_______ ______ Depth..5.' .._.. W Disposal Trench—No. -----_------------ Width.................... Total Length.................... Total leaching area....................sq. ft. � x 3 ;Seepage Pit No...____.-�____.___. Diameter.___._�d___.._. Depth below inlet.__.._'__.._._._. Total leaching area..!?_!: ....sq. ft. Z Other Distribution box (r) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ aj Test Pit -No. 1...._Z-------minutes per inch Depth of Test Pit....! r_..... Depth to ground water.._.=..—'.......__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... ...................................... .................................................................................................................. O Description of Soil......--•----Z-'- 717�' ............................... x U ...............•-•----•-••---- w ------------------------------------------------•--......----.......-- -----------------------------------------•------------------------------------......----------------------------------..._...•. VNature 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 iITI IL4 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. Signed_._. .. ----- D Application Approved By---- •- .,. :1 `--.:.__...... _,� a ...._._ te Application Disapproved for the following reasons_____________________________________________________•-••------•--------- ..................................... •-------------•-----......---•--....-•---•------------------•----------••-------•-------------.....--•------.........-•---------•-----•••-•---•--------•-••------•---••----•--•------------------•------ Date PermitNo........ `� (QCA2------- Issued-........................................................ Date N :—l ,z- Fim ..�...-.....:......... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:........................OF.......................................................................................... ApV ira ion for Uhywial Workii Tontrnr#ion rrmi# Application is hereby made for a Permit to Construct ( _for Repair ( ) an Individual Sewage Disposal System at: .�_...�.7.......0.f fii fir/.... � .. n` G.� �j ..Y y ---....----- .-•--•.................................... �ocatiZ!,�Addr s or Lot No. .....,��C' 1��w--•-/✓ J O•.. /7 �L�r,�� .........................-•S¢ --a..................... W Ei•�//S 1l�Yc U�'�/�/C� r / �f"�76ev .. Address ,.� --.----- - // � Installer Address `/ Type of Building Size Lot--- __.,e.....................Sq: feet aDwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder`( ) p, Other—Type of Building ............................ No. of persons............................ Showers (Zl-) — Cafeteria ( ) a Other fixtures --_------------------------------ W Design Flow.........................55------_----gallons per person per day. Total daily flow.........c?.............................gallons. WSeptic Tank—Liquid capacity�`?_�'�_gallons Length_.�d.'_ .. Width_. 'X_... Diameter-_._-_- Depth.>_'-`^..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........�.__...... Diameter......1 ?` ....... Depth below inlet......±.......... Total leaching area._Z_�__..sq, ft. Z Other Distribution box (1/) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,-al Test Pit No. I.....z-------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 T .�—�...� ............................. . w............................. A............................................... x c., W -------------------------------------------•----•-------------------------------------------------------------------------------...-----------------•--------------•--------------------•-•....-----••-- 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 in operation until a Certificate of Compliance has been issued by the b� of health. 11 Signed----•-_. ..✓.�! ..........._= J . Application Approved By..... =A... ... ate Application Disapproved for the following reasons:.............................................................................................................. ---•-•--•-----------•----•--•---...------•----------------------•--------••----•-•----------..........----------------.............------•--------------------•-----------------------------------•---- Date PermitNo........ I0&�------- Issued--•---------------------------------------------------- r Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................I......I.,.......OF..................................................................................... - Tatif iratr of-&- mlilittnrr THIS IS TO T,LFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------- --.-----•-----------------------------•---•------------ at J 1 C.....� f �C'� Gt /)r� ------... --...------•-------- • ------••--------•----------------�-•-- �1 - . {Sj" - has been installed in accordance-with.the provisions of TITLE 5 of The State Sanitary Code described in the application for Disposal Works Construction Permit No...__ ...�-�._.":t......... -.._.. dated.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUED AS A GUARANTEE THAT THE. SYSTEM WKL UNCTION SATISFACTORY. . r DATE..... 5 ' Inspector ..................................................-----•--c:........ .......................................• :.. I 1 / THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , 4-);.- No......................... FEE}---:�.......... Disposal Workii Tons#rnr#ion Prrmit Permission is hereby granted-----A=..L1/..�......-•---------.--•••--------•-----•-------•-••----•........................................................... to Construct ( A or__Repatr ( ) an Indi i�ual Sewage Disposal System• j rG< J at No....-•-_,-�' �. !��C.. ...... ...::.---- Street as shown on the application for Disposal Works Construction Permit_hJ�. Z............... Dated .._____ !-' :__.__.._........ Board of Health DATE. --------- _„ t�...................... FORM 1255 A. M. SULKIN, INC., BOSTON - 1. .: .. ._ .. .. . . .N I-4d x 6 , Pit j W`2 •.eo _x .rAo� 6 n o 30,,' 30�: 15.3Y I17 3 W/2'4 to I ` +00% j . 'Pot 54 TD, l 500. 1'6t 6 N M1 o i Prof o / No Sca1.e p-topp ed zf.4, .Cod 7.. 2 G,3 i 1500 G.S. _.... . ..,... u G.Jnt Scale 30 1 I w I I fI= go.� } I bate,I0-3-85 a 31 7 247 caitli ba44rc n Pk' i8.� CIO wdd�6 30 o Oak U.i.ew 7Pithace v ind RLL`:Cap e Mj .. . . pn pt4ait { of.:Carrel 7 ad; ehotk on-a-p.Can--&,w6 tded �ariata(i1;e /�e. .iatty`o Deeda. book 331 page 58. £44�ationa aho&" ace baaed on an ae&mwd`da tus6 pet �,i,-t`_�-►11t Ls...:.. . . --._ - Made . 6-27-8 S wu ,9. CoAt6a No. water encountwd : pets. Maze 2 SiA peat I" %P - osecliwrc j ,to aouoofr . 1 , FPS 4z) WIU-IAfrV\��� Xv H FAROIE V N P No. 8995 I •°9oFE•GISTF������" : FSS/ONg.� (•. i �;�