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HomeMy WebLinkAbout0005 PEACOCK DRIVE - Health 01 5 Peacock Lane Hyannis A = 248 304 i � o b ImpC $ - O 0 b P Cp 0 _ s 33 N N A 1 O Rn v v N m iA D N33 L'f m 1 k J W U�1 0 a C W FEB THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �CrZ�lZ........:........-0F..... ApphrFation for Ilh4paii al Works Tutwunrtinn Fermi# Application is hereby made for a Permit to Construct (X) or Repair. ( ) an Individual Sewage Disposal S stem at* qp/ ...... Azad......T..+V. /..�............�.� i�.......... ............•_____••___..._.._... ..�•i-------•---•---.-..-...-•---.-------------------------•- Locati -Add.-.. re or Lot No. ....._.... !¢/. .�t .�. .l. - ........ .............................. n'' lf---------------------•---------------•--..........--- !/ ner Address ..... c.. �...._. �d.lS� .... -•--•----.......-• ............................................................ Installer Address S Type of Building Size Lot---- _, ....... q. feet ►, Dwelling—No. of Bedrooms........-..................._...._.....Expansion Attic (A/D) Garbage Grinder (IJO) Other—Type of Building a yp ng _�ao___.�....... No. of persons...................... Shower s/(� — Cafeteria (,lJv) dOther fixtures -------------------------------------------------••• -------- •-------------------- W Design Flow........1 .....�-��_---......gallons per person per day. Total daily flow..........�_� .....................gallons. 9 Septic Tank—Liquid capaciitylJ.O."Dgallons Length----16....... Width.....&------- Diameter-----6,-...... Depth...,F......... Disposal Trench—No. ... Width.................... Total Length.................... Total leaching area..1!_/......sq. ft. Seepage Pit No...kJ.Q `V'_. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (}() Dosing to Percolation Test Results Performed by-__.tom 41'f6?C---�✓?�t`__ C_... Date.....�Q ._ 1........... ,.a Test Pit No. 1---4.sl----minutes per inch Depth of Test Pit....1e1.......... D pth to ground water-__-, _. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------...........................r----------------------------••--••---------------------------------•--------------•---------------•-------------•------.-- O Description of Soil...... !.. d=;lry a.5_`L)Azw7.6.•--••--••-•-----•-•-----••-•-------•-•------•••-••-•--••-•••••--•-•--•---•...................... v -•-•-------------•--------•------- .........f'Y1 °� x -------------- ----------------�=«. ����.....s;1XI&..._.............................................................................---------------------------... 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 operat' njul�aCertifica Compliance has been issued by the board of health. —� Signed-/V .' . -1 ! t - C•---•-• .....l ••••-�..��J Application Approved BY- r" ".=-� C�_......r1'z'` ........................... a. S._.._..._ I/ ate Application Disapproved for the following reasons----------------•----•-------•--------------------------•-----------------------•------------------..........---- ----•-......•--••---••-•--•--•----------------••-----••---•-•....._........--------•-•-•--...•-------•-...-•-•--•••--•-•------•---------••--••-----•--•---------••----•-•-----•---------•--•••--------•-- Date PermitNo....................................................... Issued........................................................ Date ............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ( 1,�j-... OF.... ."'.............................................. Appliratinn for Disposal Works Tonstrurtinn Prrnti# Application is hereby made for a Permit to Construct ,( ) or Repair ( ) an Individual Sewage Disposal System at .... .....!L:..„ --T-• ........................................................ fJ ... Location-Add ss or Lot No. ` --j) e 1P ?ria Y •-----••- - ----- ' -•------- ----------_------- . t {tea Address .......... � � -------------•-.....------•---•...._ ...........--------...-----� :; ..................................................... � Installer Address UType of Building Size Lot.__,&.,;M;�__._....Sq. feet 1•-1 Dwelling-No. of Bedrooms..........,��................................Expansion Attic (VO) Garbage Grinder ()0) a Other—Type of Building _I p �. r,................... Showe — Cafeteria (G1�) a yp _ �C!_�_. '__?___..... No. of ersons.__... d Other fixtures -----------••-----------•-----------•---•---------•-- W Design Flow......../, _•--.--.....�.a'�--.._.__gallons per person per day. Total daily flow.__.....__ .0................. _gallons. -- WSeptic Tank—Liquid capacity/ _gallons Length---/t)........ Width----6........ Diameter----f_........ Depth.. _._.._.... Disposal Trench—No.A'. ��:.._.. Width.................... Total Length............._...... Total.leaching area- te, _. s ft. x g �------- q• Seepage Pit No..J,!4VV�_.. Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X )' Dosing tank ( ) Percolation Test Results Performed b ._ c ./MO&�. - .. t�:g r.i�_ ..__ Date----./q ...p p pth to ground water '40-6k : lee.V--------- Test Pit No. l...e�:,�:_...mmutes per mch Depth of Test Pit _.______.._ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................. ..................................A.................................................................-.....-----•........-----------••-----------------.....-- O Description of Soil.._.11.`. .. ..40.etw. ?C Aj 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 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 issued by the board of health. ApplicationApproved BY...............................................................................-------••-------- --•--•--............................... Date Application Disapproved for the following reasons-------------------------- ....................:._...---•---------=---------------•-•------••-•-------•---- ----------------------••-----••-•---------•-•--•••-------••--------•--••--------•---------•-----...-----------------•-••-•-•----------------•------.................................................... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ham.. ....... .......,OF.... ?1 ":.:.:.................................... (9rdifirtttr of ToutpliFanrr . THIS IS T CERTIFY at the Individual Sewage Disposal System constructed ( )' or Repaired ( ) by .::.ylf f r".... ._��.. s .. Installer ............................................................ r at f! t Clef_ .__ ; ��------------- .� .....'r ... has been installed idaccordance with the provisions of TITLE 5 of TXie State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated------------------- ............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU ANTES THAT THE SYSTEM WILL FU CTIO SATISFACTORY. s DATE................. Inspector.. -\ - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Zca cs / :..............OF..... Zts. : 9. ......................---•••--•--......... No ...................... FEE........................ Disposal Works Tan trnrti.an rrntit ,r Permission is hereby granted-...... --•-------------------•---•------....-----------------•--...--•--•........................ to Construct (A ) or Repair ( ) an Individual Sewag�e Disposal System - at No.- V-------- 'l' cf ' Street a"� � � -- ! �����'........ as shown on the application for Disposal Works Construction-Pe mid--NNo..................... Dated.......................................... ------------------------•--•---•-•-•------ --•-------------............................................. DATE. /CC ——/ S ___ Board of Health FORM 1255 A. M. SULKIN, INC.. BOSTON '�„ a0 Fy - /"ff//E✓ nto7 /F E/r/�r� ?XESEPric 7-.4`.v/< OR .. . A"/r.Alf, : Mo-ge' rid AN /2''"B�L® / ajvo&tev7' 7(0 GRA z---6AN .EXr eA , _ C®d0/G�P7" t,►EAVY C-AS7- /RON C06�L�R .Sfa.4I-L BE USE®` C L, 5 / S; "IM. PITCH • L>R/VZE.WAY a _ V, COJVC,C�'T'E a . O AZ)E C O V E, C L EA/V -TA/V O 2 LAYER OF 0. GAL. WASHZFD ,S70NE plST. c- d e • . a a a m slep"C r�A/V K,. a ® e • ®® e • y - - e a .v o WA 59EP sT®NE 76= ip jiga P/T OR LVu/V' �f7'. G64-Pf�Ci� ,�Z������',f�'��` g ►bp a.a ® o_ ,s e e a a � D ^ lAM+ om74jvT's PTiG.7i N K' 47 S �RDuMD: y�TEI TABLE //�A f r AMMAS&/OM ® 73 QX �T .S' /FAO ®� S& •AGE a /,Vt�r.' .�CtPOAoia .S y �� U T1ON ILEAC SCA Cm I.TEIVIA /Vt✓�9e�' ® o3Jy s r 3 4 , tl Ttf.7.�LTII�.�ED FLoi�6l 3 3 y 50/L TEST l SOIL TESTy2 + Et�Y. .ESL b! BATE ® .S0jF4 7'ES�' ,Siam t �e i/✓u.,®�R�/ �T. ° r R �tia ram'�°+rt h��'Woo �Y' �07-�-r01e/ CAreAta.PPER P/r -Zk � R� RB/E lACNiw6 i4RE� Co� /��� � �P nv/707AL eZACHINrr ATB=A ' s&ems SQ. �- /�veH A A �2 J Cl T . P`3 5 S A F s z�o M r/E `� ass h` °.P .f i`l2$ Iv E ham:i. cn �:la x. ! :' g/�'r- .. -. .. _. 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G4r Q4fijdte-_onl as determined from records and/'or verbal ® e t r . t nfoxmat 6' Th 4'contractor isresponsible 'for the `� '�'A j ' f�uer��f cat on of the existing locations in' the field. 3CA�E� "_ _t DATE I /2 8'I, ' RED Of ENGINEERING CO IM CLIENT.:, _ ------------ I CERTIFY THAT THE PROPOSE D g t EC3ISTERE REGISTERS® SOB NO. d?4029F' BUILDING SHOWN ON THIS - PLAN ' ' �Y(St. CIVIL LAND CONFORMS TO THE ZONINGS LAWS� �� EN® NEER d1RV ------^-�-- OF `IAI$NSTAF3L E MASS. y o-< ` I " ?IU MAIN STREET, " CH. BY f� - - HYANN I S IMA3S. /2C,PE SHEET OF A KEG.. LAND SURVEYOR. 66, gco �.` �,�`.�o � ,7 ^•. LoT Ify .. y' ��`' '/as• ��'92 . _ ate. Q F" T ' . Vlq -A F 241 \y V - A/ A . � - CERTIFIED PLOT PLAN .,. ' 03 r.1.d.L' �',c ,,rot..AaP�F` a vn dui/5' CE 6 is f 1` , In/, / c T IN -1367 DATE Yji! � 4 X. ► C,v��B��.S" . ., E, [" CERTIFY THAT THE NTT.,,. ... :._,. SNOWW ON THIS PLAN 13 LOCAT94 dr t I. -1.tfir"�i6� 1� ,.-. / ,f ON. THE GROUND AS INDICATED CIVIL LAN o..,..a. EId�lNEIEI� S!I&BYEY®R f CONFORMS TO THE ZONING LA 4 f' 4 fY RIV�TABL.E, NABS T12' AAAM `STREET;' GIIti, Yo .. {—�— k HYA►.NtRIS MdASS :" I NE 1'„ �� .. AT'le REG: LANO SUI�YEYOA LA oy- Q