HomeMy WebLinkAbout0295 OLD STRAWBERRY HILL ROAD - Health 295 Old Strawbe i
A=250-080
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LOCATION o SEWAG RMIT NO.
VILLAGE /;G
I N S T A L L E R'S NAME & A D D R E S S J. CRAIG ME®EEROR
Trucking & Bulld"g
142 or rc ion tree!
HYQnnis,. Mass 7�5-084g
B U It DE R OR OWN ER
DA T E PERMIT ISSUED
DAT E COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF
........... .---.........0 F...........
Appliration
for Bi-spuga1 Workii Tnnwtrnr ' rMit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
System at:
295 Old Strawberry Hill Rd. Hyannis hot 75
.� .... ...........................------------....------------------------------. --...-•---....-----•--------------•---....------------------•••---------------------------........
Arthur V. �'ioilnaAddress� Box 962 H 41.s...)331.... travfb ray...
......................----------------.......-•----......----- ............... -----
Owner Address
.... Craig..Medeiros��ef....•--•................................. . .42..0or_perat onti...... .Hy ? n .i ..................
Address 19 473 75
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.............................................................. .Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures --------•-------------------•-......-••--=-----•-----•-•----------------------------•-- ------------------------....-----------•-----------......----
C� e
W Design Flow...... S____._____ --gallons per person per day. Total daily flow.._..__...3�v....................gallons.
WSeptic Tank—Liquid capacity.-...�� allons Length_4._...___.... Width__...8........ Diameter__-_.____-__-_- Depth................
x Disposal Trench—No ..... Widt .. Total Length___________________ Totat leaching area.... __. sq. ft:
Seepage Pit No........ Y Diameter---- -- Depth below inlet....._ _..._. Total leaching area...2 .sq. ft.
Z Other Distribution box ( ) Dosing -3� 7� -
~' Percolation Test Results Performed by.--- ---9! ---------- ----------------------------------- Date_�_� .`.��.....__..
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--__--_-----____--___--.
(s, Test Pit No. 2................minutes per inch Depth of Test Pit-----------.-------- Depth to ground water-.-_._--..._-_________-
P' ----..... ::-•--•----------------------------••----.----
O Description of Soil. 3 X-If
.... - s " '`` ------------------------•---•-----------------•--•----------
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 i IT,?E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been.fy issue the bo d of health.
Se d ... ................... ...........r
Date
Application Approved By----- ------ ------------ --- -------------•----••••-- ...... ' -'------
Application Disapproved for the following re¢sons-----------------------------•--------------------------------------------------------------Date
--------------
--------------------------------------------•------...---...-•---•------------------------------------....------•----------•----------------------------------------------------------------•------------
n ^ �� (/ Date
Permit No.. _ Issued I b ------ -- ---------- ------
Date
No._- J� �` Flm$. ��
........ . ----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................0 F.......... .y.l !`._.....GG 2 ...,.'...---------...._.._...--•---.....
'A'Pliration for,Digvniial Works Tomitrurtion Vamit
Application is•hereby`made for,a Permit to Construct (K ) or Repair, (. ) an Individual,,,.Sewage Disposal
System at: ' , .�
295 Old Strawberry Hill Ltd, Hyannis 'Lot 75
..................-..._..._........-•-------•-.......--••-•-----•-----------.•• .............------------------------------•--------------.................
Lot No.
_--
Arthur Y. fi0 ;'.dressy Box 962 Hya.i�.zax�_..�.�_�1.. Str�wn�r�y...�i.11�ti€�.....Ce1��,
Owner Address
Craig Medeiros 142 ®orDeratiox d�.. x�ni __.:......:.
........................................................... .---
Installer Address 9' A'7 75
d Building
of Bedrooms Ex ansion Attic . Sq. feet
Type of Buildin Size Lot._
p.l Otherin Type ofBuilding �.........:_ No. of persons.....................(....)Showers Garbage Grinder (, )
a g
_________________ ) — Cafeteria ( )
Q' Other fixtures ______________
Q ---............................................................... .........................................--------------------
W Design Flow.................,,�i� _.._ 1,,g allons per persoi per day. Total daily flow......._j-�............................gallons.
WSeptic Tank-Liquid capacity allons Length---------------- Width................ Diameter................ Depth................
x Disposal Trench—No....................: Width_ ............ Total Length.................... Total leaching area....... .jj___.sq. ft.
t Seepage Pit No.._.__. - Diameter._.. . Depth below inlet___.._....._.._: Total leaching area...-�._��^._.sq. ft.
� ----•- - -
Other Distribution box ( ) Dosing nk (� U��' e,IM 3 °
- 7d
ZPercolation Test Results Performed by._ � - - --------------------------------•-•-----•-----_--- Date. -__--"_-------`--�_----_--
Test Pit No. 1................minutes per inch, Depth of Test Pit.................... Depth to ground water........................
lz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
.... ... ---•-----t......... ...........................................
o � =
Description of Soil , -••-"-.• • ---•- .;. (••• •.te r
W a Al --
Nature o.. Repairs or ------------=-------=----- -------------•----------------------------------....-------------------------------------------------------------•--•-•-------
Up terations—Answer when applicable--------...............................---------:------------------------------------------•- a
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL. 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 boa d of health
S' ned - ...�. _.._.._
Date!
Application Approved By_...✓� ! ..1 ..... C�' ,�.... �9 �' ? " `•-----.
(! Date
Application Disapproved for the following reasons_____________________________________-----•---•--..._.....-••.....................•••..... .__.....__.__.
....................................••... ........................................................... --
Date
Permit No.....: . .. Issued______________________
- ---��- ----------------------------------
-- -...._...--•...................... Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�....?........:...O F........ f .Cff �^ � .
........... ............................
(Irr#ifirtttp of T amplinurr U
THIS IS�O�ERTTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by / ` "=t1� � r.0..>. .� ...................
............... .......... ...........
•--- •- ---•---
.r, Insta.ley..__/. / r
at. 1 .7: s"'y ---- � ; 7-------:,V-----r=/__- E! r! Z�1- ''G""----- .✓ ---•,� f'
has been installed in accordance with the:provisions of T A,IF ,W jr of Thefate Sanitary Code as de_sc'ribed m the
application for Disposal Works Construction Permit No. �._:3_�_`1.............. dated_._ :_. ._`_- (_ ...__................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL INNCTION SATISFACTORY.
DATE. f/= Z. ............................... Inspector---•- ---•-
5
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �I
7� � / OF............ #
No........ .......:: FEE_.'Z ... .'. ....
19iljljasLr ark u triultwu motif
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Permission is herebygranted...... i!k•--._:_.._.. �� •-------•-------• .............................................
to Const ct r-,_pair am Indi Idu l -A ge al S stem , e,,��
at No•. 1�` �{--. ,>fs ,f" "� � u �=F `�'........... ......................
Street-
as shown on the application for Disposal Works Construction Per N Dated... := ....................
------
'
7_ Board of Health r4
��
DATE-- ............................................................------•
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS