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HomeMy WebLinkAbout0028 OCEAN AVENUE - Health e 28 OCEAN AVE a Hyannis A = 288 - 182 7 � LOCATION Ld SEWAGE PERMIT NO- ` Y OCCAA/ ,1Vr /15"' z1? R4- 7�-- VILLAGE I N S T A LLER'S NAME i ADDRESS 4- A L1_1zCS m k ;"'10)1j6eA1 A A( (C 96(/ 11A R W/Gff R U l l E R OR OWNER W L Do //i4�ir�/ DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �. n R 4f Q\ / �' l y �. }.` Q. .� No.. '' ' FEP.. r ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH COF................. ...� ��7 &-�"..----.._........------ Appliratiun for Disposal Works Tonstrurtiun Wrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..... ...... o T- C C, .l- -1� ................. o tion-Addre or.Lot No. . .. ......................... ...................................•... •--------........................................ Owner Address W Installer Address QType of Building Size Lot.;?_�/;_.Z75......Sq. feet Dwelling . of Bedrooms............. ..................:.......Expansion Attic ( ) Garbage Grinder (vr 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow..... ...................................gallons per person per day. Total daily flow. Q. ,l rz=�G ._gallons. WSeptic Tank—Liquid capacity&Q©.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......Z .......... Diameter...ll�_ ._--_-- Depth below inlet.--- ......_.. Total leaching area Seepage ft. Z Other Distribution box ( ) Dosing tank ( ) / _ '-' Percolation Test Results Performed b ._...lvli .- :T����.... Date.../A"O"��----.-.. 4 Test Pit No. 1....A._......minutes per inch Depth of Test Pit.. .Z......... Depth to ground water.W.1,.. 4 .- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----••---------------•--•---•......------•;---•---•••-•.............. --••-•••••--....:••-----...........-----................ . -------••--..•--- O Description of Soil-----l�- f '�1 t�l .. l�/G. p`Z..—,(Z-., a------------------- U ---------------�G_,Z�-----�j 1 T�---- U 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 iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been eed Qby t board of health. - �Sied. .................. . `-=-•---•----•-•-•................. .............. -••--•-•-•----••-•--•-••.........-••............................•--•_...APPlication Approved BY e .............. Date Application Disapprove f o the following reasons:_...--•------------ _ ----------•---------------------------------•---.....----•-------------------------.........--------......------•-•--..............--------------------------------------..--•-•••----------••-•--------- �y 74/ / Date PermitNo....... -•---••-----•.............•-•-•-•--.....••... Issued.......... . Date No.--��--4f Fps. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O F...../::.:...- 1 Tam... .... Appliration for Mwiml .Works Ton.strnrtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. .. ... .�. Location-Address,/ or Lot No. �', — r--1 ------. -•------..._ ...................................................... Owner Address W Installer Address Type of Building . Size Lot. 7:...................Sq. feet Dwelling"'No. of Bedrooms........... ..........................Expansion Attic ( ) Garbage Grinder ( - p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ............... •-----.._..•--• . •- Desi n Flow..... U .-----_-. -gallons per person per day. Total dailyflow.. fl% : ..gallons. W1:4 Septic Tank—Liquid capacity/z __-"%-,-.�-gallons Length................ Width................ Diameter---------------- Depth................ xDisposal Trench—No. .................... Width.................... Total Length....:............... Total leaching area....................sq. ft. Seepage Pit No------�..,_...... Diameter---//�......... Depth below inlet.:``...______._ Total leaching area,�z� ....sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by h'rf � '111"F d:..- - t- _._. Date...,f, �'� .___..... a Test Pit No. ......minutes per inch Depth of Test Pit---/.Z--....... Depth to ground water.;N=:..._1f' e_ Test Pit No. 2................minutes per inch Depth of Test Pit-----_.............. Depth to ground water........................ w •-•----------------------------------------•........................................................................................................... O Description of Soil.......am"-._�.......... _;. ... -==......--,%� !� ��f ✓ � f x '� ...... s �f/-ice........-- fr`� .. '�✓��_... .GV � u Tr`..G2C- ... W --------------- -----------•-------------------•-----•--•---...----•---•-------•---•--••-••........-----•---•---•---•-----•••••-----••--•-•----•---..................--• .............................. V 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. Signed...................................................................................... .......................... Date Application Approved BY - ---••--•---........ ..........-----•. --•-------------- / ,a O . ate Application Disapproved f t elf dn £ng reasons:..........................................................................................:..................... ..----•-....----•--•-••-..•-•••-•. ---.....----••-•........................................---........................-----•..................•.................----'• ........_.._. Date Permit No...... •/......741--------------------------- t�. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............,::.........................OF..................................................................................... r,t (Irrtif iratr of Tontphatt r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( )tor Repaired ( ) by...... ....._... .............................- - ------=-•----- --------------------------------------------------------------------•----•---•--._...._..... �yf d Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----p---�--------------------------------•- dated-------- . ...... THE ISSUANCE OF THIS CERTIFICATE SHALION 7 CON TRUE® AS A E AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............. --E � �1�`�"--••----•-------•------•------ Inspector........... ... ... ... ... .. ..•- •• -•----- THE COMMONWEALTH OF MASSACHUSETTS 'BOARD OF HEALTH ..........................................OF..................................................................................... No.......... ... /... FEE......, ;...... Movooa1 Workii Tonotrttrttion rrntit d " Permissionis hereby granted.............................................................................................................................................. to Constrict ( ) or epair ( ) an Individual Sewage Disposal System atNo........... ; -'.--------•-••---- -t--ef------- i..71�........................................................ as shown a cation for s�"Y p l ofls Cons u > n P`r`rrtit No...............:.... Dated-----_._____._:.................. . ............................................ ., o e DATE..-•-•• r .... ............................................. Board alth FORM 1255 A. M. SULKIN, INC., BOSTON ,I sf L�� 1O/N °� "`" '33'�� 5EW a C;E PERMIT U O. awzu-ev f �� — VILLAGE _��ay1�✓ Cb�s _ — — 1I TALLER5 W&NAE ADDRE -LAE BUILDER 5 Q &V AE ADDRESS Dt,TE PERWT ISSUED DATE COKAPLI W-ACE ISSUED ; n I�I!I 41 • C A N N O N S " 330 -MAIN STREET dc C .e to 319 011, LA N�i 3 10 A N s v N C v v N N IINN i I i na a Qkp, P¢oP _• . ZZ 3 � ��� U.9 -, zl Zy 5! ` Tr /.5 Z-/© GAL,777 '• R �7 � 1. - N- .377 X. Z 5- = 9q Z. G.o�• z3 G'..✓� ZZ Z' 2z. ( zz / •• ,d/� Gam' �. T.,cf 7, I zz 23 •-�% �s�-yew �,o Z .3_ ZZ �3.0 Z�� • ,C car 22 4 �. �/ "ti' • /�!! . �v '` , le ;,;WA.T Me • r ,.y. } . s r . p -AAP 1`.Q,S' '�✓r4 '4/s•/ .5'T. -' ` ;cam s ,; .t �:-'~ ;x -, T� `ate T ,+. ds/ " s ' !''" ,�:.. ✓ lS" a + T P. r'= 4 El r