HomeMy WebLinkAbout0255 OLD STRAWBERRY HILL ROAD - Health 255 Old Straw be
SF
Hyannis
A = 250 086
i
r�
51
it
=1
I,
I
LOCATION SEWAGE PERMIT NO.
VILLAGE
g
ncs Mrs
A & B CESSPOOL SERVICE 'EWER
128 BISHOPS TERRACE, HYANNIS, MA 024
BUILDER OR OWNER 9
I
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
{
�. �
1+, �
�g
4. '!
J
T
L
A s,,
` � � wfi
i
�� ��� �+•
�' - _r � ',
i � I
� �q '
1 '�
� '� � � � i
e'b �. ��!
No...$. -....�..`i'... Fmc.... ....15 00...
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Tarn Barnstable
. .................O F............ ...........................------------------......._..------...............
:t
Appliratiun for Diupuual Vorkti Tunutrnr# un Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
255 Old Strawberry.Hill Road, Hyannis, MA 02601
................_...._..... -- - ............................................ :...............•-•---•......---•-----•---••--•-••••------•-•...-•-----•---•----...........---•-- h
Location-Address or Lot No.
Ma,x�. .. atilt.....................................•-.--- 2 5..Old Strawberr Hill.Rcad, -Hyannis,�MA 026%
--------•---------
Owner Address
aA.._&.. ._Ce .o1..SeYi�e_,.. rlc.................................. 1.28_Bishops Terrace c_Hyannis, MA 02601
Installer Address
QType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms....................3.....................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons__--. .................... Showers ( ) — Cafeteria ( )
Design Flow.Other fixtures _____________...-gallons per person per day. Total daily flow._.._..__...........__..._..__........._gallons.
W � g P P P Y Y
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--------------.......------------------
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Ix ----------------------------------------------------------------------------------•••---••---------.........................................................
0 Description of Soil.......-Sand----•---------------•-----••-----•-•---...........---•---•---•--------------------..................................................................
x
U ------------------------------------------••---•-•------------............••----------------------------------------------------------.---------------------......-------------•-•••------------------.
w
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-•----
V Nature of Repairs or Alterations—Answer when applicable..instal lati on_,of'_a-__1 t 000 gall on i stone
packed...le_alah._- --t.....................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITI.% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b n 'slued by the oard of
I
Signed;_ --5�15/85----------
Application Approved BY-------- �� 5/1�185
Date
Application Disapproved for the following reasons:.............................................................................................................._
.................................................................................................................................
Date
Permit No.....................85. 6 9 = Issued.: 5--15-85.................•--••....
Date
s s.•.............. .••
4S 4
No.. ? L��. ... Fss... �...1 ...�l�t..._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........ --..T_Own-------------------OF...............J? Stablg..............------------...----•---....--•--
Appliration for Biipuoal Works Tomtrnrtion Vrrmif
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
2J5 Old StrawberryHill- Road. HYalmis t,A 02C01
Lo.cation _A.ddress . ,_
------------------------------•--o-r---L-o-t---N-o---
------------•-•------------- ----------
NkM10--Brault.................... .................. ....... 255••0-1d••t=wberwy..Jii_ l..2r 3.,...11Zuar Jua,...W 02601
Owner Address
a ....................................... r h p ,...r. i ,-..
Installer Address
d Type of Building Size Lot............................Sq.'feet
U Dwelling—No. of Bedrooms___________________3......................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ____________________________ No. of persons____�k__-_________.__-_._._ 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. l-----------_----minutes per inch Depth of Test Pit.................... Depth to ground water_-.___-.--____-__-__----
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a --•-------•----------------------------------------------------------------------------------•------.........................................................
O Description of Soil.......&and..................................................................
x
V .._..---•-•••--•----------------•--.._...-•------------------------------------------.._._.....---•-------••-•--•------------------------•--•------•------------•---------------------•...--•------------
W
--------------------------------------------------------------------------------••.•----•-•---•----------•-------------..------•.•--••--------•-----------•-•-•--------•--------•-•-----------......._.
U Nature of Repairs or Alterations—Answer when applicable._inatal.lati-m..aE-_- ------
pmakecl-=le-aalt-•pit..4.uve-r l-ow-)-•-------------------------•--•-•------------------------------------•---------------------------------------------------•---•-----------
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 b n�11e'
ued by the oard of,.liealth'.
Signed. c t- .l ....:.._ 91 = Date
-•-•--------
Application Approved By-----7_111--------------------------------•----------.._.....---- 51--i�185/ Date
Application Disapproved for the following reasons_________________________________•________________-__________-___-_______________--__._____._____-_-__..__._..._
................•---•--•---•-----------•------------------•-•---------•------------------•----------...-------------------------•--------------•---------------•-••--------------•--------•--•----------
Date
Permit No.---•............::8 -.... v/ -----------•--- Issued_............51 51 5._..--------, ...-.
Date
:THE COMMONWEALTH OF MASSACHUSETTS
.n BOARD OF HEALTH
`P:�t.n.......OF......Rarnsta"':1 e...............: ...............•---..............
' Trrtifiratr of Toutplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired (x )
Ir�e.......1 > Pish9pgL..Terz~ace.,..-Hyannis R A 0.:6®1...............................
,k—Installer
at...?55-_Old_Strawberm.Hill__Road:___Hyannis, T'A._ 02601 -"°arie Frault
has been installed in accordance with the provisions .of TITLE 5 of The State Sanitary Cone as described in the
application for Disposal Works Construction Permit No--85____-_-_- �_ _`_____________ dated....51.. ..____________________-_-___
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR ED A G" RANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..............1l1?r./�3................................................. Inspector............. =. .....................................................
THE COMMONWEALTH OF M„��SSACHU TS
s
BOARD OF HEALTH
....... Tqxr..............OF....1'A7Mst9,.ble..-.. 1 .00 `
liopooal Works 0,onotr ion rroti#
Permission is hereby granted.....A._ _ - Cess-pool_ S�z'vlCeA__TIIC.-__-_-_12�>_ bishops- ie2'.."d.Ce, llyvax... \
to Construct ( ) or Repair ) an Individual Sewage Disposal System a .
wbe_ Hill Rq d H nnis 1-A 02601 - i B y
at No255.__Q�s1._�t _....._ Y. p ...Ya_.... �..--=.-------• ----------------M�r_e . ra.ult t
........................................
Street r
as shown on the application for Disposal Works Construction Permit No. S-......... ! Dated....
5...151...e� '
Board of Health
DATE...........5. .5/15/----•85------•----------- ..............................FORM 1255 A. M. SULKIN, INC., BOSTON
.,l