HomeMy WebLinkAbout0057 PHILLIPS ROAD - Health 57 Phillips Road
Hyannis, 4 ,
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LOCATION SEWAGE # p��
VILLAGE �y�/"°s'O'r ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. ` 7 —07'07
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) � �i� (size)
NO. OF BEDROOMS —�
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility.(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No., Fee /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yews
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS
Zipplicatiott for 33igpo5af *pgtem Cott6tructiott Permit
i Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
S°'�v' iC�oi�.!' /,Z- LT
Assessor's Map/Parcel O.7-
Installers Name,Address,and Tel.,No. - Designer's Name,Address and Tel.No.
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Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other 'Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 172 gallons per day. Calculated daily flow -0�fo gallons.
Plan Date 3—,,;,P,-02 Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. �c� �.�fi ��`�Q 3� X�G•�'3X?
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued this Board of Health.
Signed Date
Application Approved by Date F.7 0
Application Disapproved for the following reasons
Permit No. 2®d 2— 13 Date Issued
No. 3 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:y� /✓
:.,,,•7Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Application for Migpogal *p�tem Congtruction Permit
T Application for a Permit to Construct( )Repair( )Upgrade(A)Abandon( ) ❑Complete System `Individual Components
Location Address or Lot No. S7✓ofl��e//`�1' Owner's Name,Address and Tel.No. f ,'` +
Assessor's Map/Parcel 9/ O P 241/<eTi iQ
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size : sq.ft. Garbage Grinder( )
Other Type of Building -o!'e P. l No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 7.7 gallons per day. Calculated daily flow #.�� gallons.
Plan Date 3-I9 -0a Number of sheets i' Revision Date
Title ,
Size of Septic Tank /5`�- 'P.4 Type of S.A.S. -6-ieo-1 c*ice-1 �4 e4 / X/o•�jX.7
eye Sri G'.4� .�.vFiY 9 ' '1"rsiPJ' r
Description of`Soil
�r
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
N The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issis Board of Health.
ued th
4 Signed Date 3- Vim:
Application Approved by '�./. Date 3-U p
Application Disapproved for the following reasons
Permit No. ?Dd 2- 1 301 Date Issued 0 '�
3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(
Abandoned( )by
at has been constructed i. accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. D 00-1l of dated U
Installer Or;' e Designer 44:�i4 4040 �9:/, •,c.!'a a►� re;J",
The issuance 9f t is permit shall not be construed as a guarantee that the sy P11
will f ction as si ned.
0.Z Inspector a
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No. aZ 0a Z t J-/ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
=igogat *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade(,�jAbandon( )
System located at 3"79 --Owwxie,,r r ✓l'd �1/.ci.-wr/-f'
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions. 1 -
Provided: C ns ction must be completed within three years of the date of ttu"ernu
'
r Date: L1 3 U2 Approved by 1.1/)Ww
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TOWN OF BARNSTABLEcc
LOCATION '0f"11/ZZ1^r `T'52 SEWAGE #
VILLAGE ��/�" "V o'r ASSESSOR'S MAP & LOT ��/ ''f'Z
INSTALLER'S NAME& PHONE NO.
SEPTIC TANK CAPACITY -7,
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: ��-��®� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility (If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by y`' Z .�'OC`U/C'
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No.._22-A 7 FHx$ $5..00.............
THE COMMONWEALTH OF MASSACHUSETTS
SOAR® OF HEALTH M/P �9160 �
:
Town ..........OF.........Barnstable .
� rftration for Bt-qpoiFal orko Tonotrurtton Vantit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
Phillips Rd., Hyannis
•-•••---•--.............................-....-----...............----•-------.................. ............................. ---- --------._.._..----•--•-----•--
Beatrice Stewart
Lmation-Address 69 Letichon.Rd., iy& ark, MA
......................_.......................................................................... .....................................................•............................................
Addre
W A & B Cesspool Ser$1'86 128 Bishops Terrace, Hyannis 02601
Installer Address
dType of Building Size Lot............................Sq. feet
a Dwelling—No. of Bedrooms..................2----...___._.-_-_-_---_Expansion Attic ( ) Garbage Grinder ( )
44 Other—Type of Building ............................ No. of persons......3.___..............._ Showers ( ) — Cafeteria ( )
Q' Other fixtures ..................................
WDesign 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........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
p+' ------•--•-•----------------------•-------•.........-•-----•-•-------•......----•--------•---------•.........................................................
0 Description of Soil-------- Sand -----------------------------------------•---•---•-----------------•-•---------•---------
x
-------------------------------------------------------•------------------------------------------------------------------------------------------•--------.---•-.------
U Nature of Repairs or Alterations—A saver when applicable_Installation--of------1,000 gallon, Stone__-_.
-- ------------- -------------
packed pre-cast leach pit. -overflow
•--------------------------------•------------------------------------------------------.................
s Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of L T- y g g p y
5 of the State Sanitary Code—The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has be ss by the boated jof h
Sign e *r-. �' .._ _..... 11126/7...--••--
'� 11 ?6 pp79
Application Approved By...... ----- ----- ---•-- ` ---------
Date
Application Disapproved for the following reasons------------- ----------------------------------------------------------•--••----
--------------•--•-•-•-•-------•......----•-------•----------------------...•----._..........---------••-•---------••--•--------------------...----•-••-•---•-----------------------------•----...._....
Date
Permit No...... 79 Issued 11/26/79
---•--•--•-•...._.._ .......................
Date
No.._.29- ..._......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TownoF..........Barnstable.....................................................
,� �irtt#flan for Uhip o al rk� C�naT� r�ir iun rrnii
Application is.-hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal
System at:
Phillips Rd yannis
..�..........................
....................L ----••-------------•-•---•-•...... .---••------•-----•--•..........-•---------•-----•--•-•---...
. ocation-Address or Lot No
Beatrice. ....... .--• ---.. ......_...
O ner Addres
A & B Cesspool Ser X36 128 Bishops_ Terrace, ftyannis 02601
a -•--•••••--•-----.....••-•.. .................................................................... ........................ --•----•--•-. ....
Installer Address
QType of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms...................2 .Ex Garbs Expansion Attic e Grinder
P ( ) g ( )
p., Other—Type of Building ............................ No. of persons......3................... Showers ( ) — Cafeteria ( )
a Other fixtures -----------------------------------------•----
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
W Septic 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.......................................
aTest Pit No. I----------------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........................
--------------------------------------
--------------------------------------------------------------
--------......
•--•--------------•---------
....
-----
.-----
DsDescription of Soil..........�Sand.------•-----------•---------------•-----•--•-•------••----------------------------------------•-------------------------------------•-------------
x
W ------•-------- ----------- ---•----•-------------------------------•--------------------••-------••---------------•----------•--------•-•-----------------------•----------------------•-----•--•••--•-
UNature of Repairs or Alterations—Answer when applicable--InstallatOD__of__a_1_,000__gallon,.__stone____.
Packed_-pre-cast--leach_.pit. --(overflows--• •--------•-------•----••---------•- -
---------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
TITLE
^
the provisions of LE 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;
�Sig �.l �/ _ � % Wit._ 7
. ....._.:_:.__44 ....... .11...26/..4.._....._...
G+' 11 20 to
ApplicationApproved BY ----•••------•---- . .---- -------- ---------- -----------•------. --- ---- .........................9 Date
Application Disapproved for the following reasons----------- --------•••---------•----•----••-•------------•---------------•-----.............................
----------•••-•••---•-------•-------•-•-•••••------•------------------------------------------------••----••--••----•-----------••--•--••....•---•----------•----------------------- --------------
Date
11/ .2679
PermitNo.........79.........---............................... Issued-----..---•----•• .... .- •----------•-----------
Date
THE COMMONWEALTH OF1MASSACHUSET7S
BOARD' OF HEALTH .
T own.o F....Barnstable.:....................................................
(9rdifirFatr of (tomplianrr >a
,r
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x)
by..A.1-.B..Ges p�zQl.5>;�sxica,..12s ..Bis?a�ap ..T rraca}.. Iyannls�...N,�....Q2 Ql...........7.7�-6?_�-•-----••--
Installer
at...........Fhillips...Rd.A,.. #yarnis,.--SSA....9260.1.......=n..Be&trice..'5.tewart----------=-----------------•---------------------------.
has been installed in accordance withjhe provisions of TITLE ` 9f The State Sanitary Code as described in the
application for•Disposal Works Construction Permit No._--7 -__ 6.._��.1..._.___.. - dated:-..:_----3a f���-79..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..........................11/6/79---------•-...------..........---- Inspector.................................................---.................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T own Barnstable
79-76/141 ................................ OF.......... ..............--•--------............................... $5.00
No...................... FEE........................
intt1 nr� �>�nrUan rrnii�
Permission is hereby granted.A & B Cesspool Service. 128 Bishops--'Terrace Hyannis 02601
to Construct ( ) or Repair ( x) an Individual Sewage Disposal System
at No..............Phillips-Rd........ yannis,--MA 02601 -----E atrice__Stew
t et
as shown on the application for Disposal Works Construction it No . :. . ._.. ed.........11/26/79.............
11 26 79 r Bo - _• ',
DATE / /---- •--- ••.
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS k •*
� ASSESSORS`MA
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