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Home My WebLink About1131 PHINNEY'S LANE - Health y 113i1�Phinney l s Lane f Hyannis A 273.024,; i LOCATION SEWAGE PERMIT NO. I VILLAGE INST LLER'S NAME i ADDIt S BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED t� O � _ �- � � . �� t� R t No.. .y.:` . ,� Fine j..................... iG THE COMMONWEALTH OF MASSA&iusETTS BOAR® PF HA EA H d. ✓✓.............OF.... ............................... --..........._...--------....-- *0 Appliration for Utgpaiial Works (fnngtrnr#ion rrmit Application is hereby made for q Permi to Construct ( ) or Repair ( ) Individual Sewage D osal Syst :�, p. �� / /�//NNG �i9Nf' _ _ Gnni Z _.............. ........ ............................................ cati ddress - or No. ^ caner •• ,�., Address . ...1..1......_...�. .. .?... Bch/...._._.. ��t . .. ......_... •v• � Installer Address U Type of Building Size Lot___X _s.G'4__Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building __IL-f 4yJ_.1 No. of persons______�__________________ Showers ( ) Cafeteria ( ) 04 Other fixtures ---_K2L.U/V.G'---=---------------•----..-..-------------------•-------------------------------•--------- •------------..........__.. Design Flow_______.�_.�___________________________gallons per person per 4y. Total daily flow..__._.__3_�_U gallons. W f� „6 *Y�v ,�,- --- WSeptic Tank—Liquid ca�c _gallons�Length ______________ Width__L1_.__._.__ Diameter______.. Depth___�_!____ x Disposal Trench—No._.-_�.!g_._..__. Width__v............. Total Length_________.__.__ Total leaching area.......... ft. Seepage Pit No-------�.--------- Diameter....1______...... Depth below inlet____________________ Total leaching area...... ft. Z Other Distribution box (>o) Dosing tauk ) '-' Percolation Test Results Performed by.. a E ___ Date __ ...... y. as Test Pit No. 1---1_ 8 ?!est__minutes per inch Depth of Pit__________________ Depth to ground water L= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ........ f --------••... -•-------------•-- --------•_-••---_- ...-•• Description of Soil . Z2 'gam �1d U-- ......... - W UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ .........................................................-.............................................................................................................................................. Agreement: T e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with e p ovisio is of TITU 5 of the State Sanitary Code— The undersigned further agrees not t lace the system in op ion n ' C t- f Compliance ha be ed by the board o i lth. Signed-------- _1�,G...e_�------- -----rJ-L-----------•-----•---- • ----------- ------ � to � p ' a ' Approved By.............................................14- �---�:_..---............-•----•--- ---------------------------------------- Date lication Disapproved for the following reasons----- ---------•----•-------•-----------------------------------.............................................. ...................••---...-•-•-•-•---------------...--------------------••-•---•----........------...•- Date PermitNo......................................................... Issued-....................................................... Date tr No. .............I...... Fmic............................. THE COMMONWEALTH OF MASSAd:HUSETTS BOARD OF HEALTH ........................................_OF.................................................... Appliratiou for Disposal Works Tumaurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ................................................................................................. .................................................................................................. Location-Address or Lot No. ............................................................................................... ............................................. ............................................... Owner �ress ........... Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder a Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures Design Flow............................................gallons per person per day. Total daily flow___..........___....................._._..__gallons.--gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width.....__........_ Diameter_______-.-_--._- Depth.....__......... W Disposal Trench—No..................... Width.........._.._...... Total Length...._............... Total,leaching area....................sq. ft. :4 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. 1--_-----------minutes per inch Depth of Test Pit.................... Depth to ground water____........_.__...____. 4.1 Test Pit No. 2................minutes per inch Depth of Test Pit___......_..._...... Depth to ground water___._...___._......._.._ 9 ............................................................................................................................................................. 0 Description of Soil...................................................................................................................................................................... U ....................................................................................................................................................................................................... ...................................................................................................................................................................................................... U 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 T I T 1Z 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 ApplicationApproved By'----'--'---..................................................................................... ........................................ Date Application Disapproved for the following reasons:------- ................................................................................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................_OF......................................................................... U T rtifiratr of Toutphaurr P�r T�IS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by............. ...... ...... ........ ? Installer at.......................................V.... has been installed in accordance the w; provisions of T� r tli- — 'Qf -The 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 GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................. - fi .............................. Inspector......... .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH nff7 ..........................................OF..................................................................................... No......................... FEE........................ I Works Tonstruction ranfit t Permission is hereby granpl............ - ----------------------------------------------------------------------------------------- r - Individual to Construct ( _)� � . epax n Disposal System at No. .1 e 5 ....... -----_--------------_-----------------_---- ............. -- -------------------------------------------------------------------------------------------------------------------------- Street as shown on the application for Disposal Works Construction Per ---------- Dated.._.._..____......_._......_._............ ............... -------- .......................................................................... Boar, DATE....................../ Board of Health ....................I............................ FORM 1255 A. M. SULKIN, INC.. BOSTON t { t ) v Y T ¢ Q O. t"Frr av �� kr � .5��, n ; w � t F2v1v TA ES.Ls d ** Q _IQrI f'• �� / •.M ��`\ OF• V' ~ l ROBERT + •� ,. ,�j BRUCE E a EI.ORED n a ORSE N G E, wni 00 Ip 5tj FSSI0NA%--. t LEGEND �✓8 1 O:IMS: 9POT ELEVATION OXO CERTIFIED PLOT P LA(V R90. E® �8POiP; �yTq� LEVAT;I Old y T S /p /�?Qv /Ly, O�G. 93 . ri t ,j ' The location of any.'`exzs ting u der�, ou�nd,.��werage, irt1S or othex;utili:tlesF`shohrnn' on this plan gig# appxox E � amatse lonly as determined ,from records andyovterbal J3 J`� � ' , � + H finfQx�nat�on The:contractor zs xesponsible for;:the, 5 a `field. N. , � vex ,cat�an .of. the eXlstng lacatzoi�sn` the 9CALE� =40` 'DATE s '7 zG/& g day � /Q yA1/ t'T'/�44E', . �D '"EMGiIVIE�I�Q. C�rIN 0�.1'�RIT �a �Al � 1 CERTIFY` THAT THE PROPOSED ,�� ( �I�TERi ''`k00 BUILDING SHOWN ON THIS PLAN' Pr 3M PSd , t d,"r+j#� 3 31i1 s'- ,$. " CIVIL LANDa d r `BYE �, CONFORMS TO THE ZONING LAWS DER/ R �''yy w AF`.,BARNSTApLE , MASS. M A'"N STRE.ETL- r� f• x 6nN,'®V+ 7 - w. y �. A N � 9HEET l,. OF DATE REG. LAND SURVEYOR' tit^ +..,.^ ^—.—•_'—---�_'. -. _ .._ - -'— --'-- .. . .?O FT. M/N. NOTP' � /F E/TiS�ER THE SEPT/C TANK DR '�- LEACs,tlNG P/T ARE MORE TNA/V /2"BOON% 4 /D Fh'M/N GRAOE� Al 24 O/AM ETER CONG'R6TC- COi�ER SHALL BE BROUCSHT 7'0 4MAO�.�AN FXTi?A - CONCRGTE ! M/N. P/TCN h+E.4VY Cif ST /RON CoV�R ,5'HALL BE USEL7 jV Z,O COYERS �B oFR f T /F/N OR/✓E1VA y 2 M."V. CO/VCRLrTE j A o /= c3AOE CO►01ER . CLEAN SANG. _ eACXF/LL •q"Dt^. UQy/o LEVEL - . . . - �..�.,:v _ �/ 4 •: SCHEa vt& _ • '• z'L Y pYc':PiP� /o po. GAL. ' ,"Pf Tex 114 pro J? SePT/C. TA/VK' A0316Y ° s • • • . • • • • r • WASHED SANE O f ! 8e / e1• r s�• •* it 314 .�, _ • DEPTtI .0 1"VAt SNED 57.0NE • 78. t, o - ►'a+ a e e • • • r y... J/NNYL EERTT;S AET.BYUC'/LTD.:.4.//M1/GdC:,; 99 g9.'Pl• FT c A�- e9 -. • �r • 6 F T•Ds/A M• •.:r. � �e ,,p4 �L PR/ECA ST SEEPRJ a- E 7DR LVU/Y. "I r.4RVA7,0,VS S8 G,4 � . �Q !N/E LC ON,SEE 7s 1L4T9 PIAJW �. Y 7"S�'PTI C TA/e!/C FT a x x . 'ET w " GROUND W,47TFR TASLE, /N.CET Dd sT14Y�3//TIG3Id BOX G'rY0/V OF O ITLET !®tlT/OH AOX 3 FT /N1.Er LEAtCMINIa ®/T s,179. FT S&JVArCae ®l.SP�s4l Si�.Sl '�/l�Vl A'T!®!Y. DES/G/V. CRIT��/fit SCAiLE l7!EA CHI"4a AP/7 /�9EM5/D/1/ GA,096 GZPISR05,4L.uv/r AM SO/L L-OC� ., a 33 u S'O/L .7 r07AL ESTI%JA-reD FLOW 0.4L.1DAY' SOIL TEST �. "SO-IL TEST0� 01 NUNp8,=R.0-sr 4eACNIAa P/TSB . D . �4EOF S/O-=GeACH/NG PBR P/T 1846 50 RT., G- /'� RESULTS dVlTNESSED BY 6oTTo1►9`L 4G'///NG PER P/T 9PE7�COL,/4 10W / .A Af�I L CSS /�'1l�IMCX -07A1- ,.,EACH//1YG AREA Z4 6 .SQ, FT 4 sfiBS Q/L P1�1�COLA'r7oN DATE �' "TTFFi4w MlA►/INCH.; RBSERYEGEACN/NCvAREA 2I°6 SQ. FT. Y 2io c5'd/L7�S Or S �e`�H OF MAlc— Ass SA n/v ,� L o T S 'P�. ✓j o r. !2�> 83 L , ROBERT G �.BRUL:k//J/✓�/S Z.4 � LG �` t/IGL� o- n vim, �R 4 M SE s H s�N F c> ELDRED ZE 10951'. W s No: O ,. - V jp 'Q WVL!% 4 Y31. r i`rO)Wf.T6o /A Trl,r AA ISM OrI. - w .:., .. :.�;' �..j u- :•z r-i. 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