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HomeMy WebLinkAbout0008 PIRATES WAY - Healthlip 8 PIRATES WAY HYANNIS A= 268 - 068 0 0 No.--.� 1 . THE COMMONWEALTH OF MASSACHUSETTS a BOARD OF HEALTH ` Appliratinn for Disposal 3 nrk 4C lan rixr#inn rruti Application is hereby made for a Permit to Construct (; ) or Repair. ( —)—m Individual Sewage Disposal System at: Y = ......_ Locatio Address: ... o.. Lot No..... . ................. .... Owner � Address .. z r• .......................... •---....-•---- .....�............. Installe ............ Address Type of Building`` Size Lot............:..............Sq. feet U Dwelling—No. of Bedrooms...... ... .Expansion Attic- ( )' Garbage Grinder ( )►� = aOther—Type of Building ............................ No. of persons..:....F...-............... Showers ( ) — Cafeteria QOther fixt =`... •--------------------------•----------------- -• ............................ Design Flow:._..__ __.'_.____.._gallons per person ner day. Total da}ly flow...� :.. WW �_....-----`..........gallons. WSeptic Tank ' Liquid capacity].m:.gallons Length.........,c..:. Width-�...._...... Diameter.................Depth................ x Disposal Trench=No. .................... Width.................... Total Length.................... Total leaching area.......___._........sq. ft. 3 Seepage Pit No--------------------- Diameter....1_A........ Depth below inlet---41............ Total leaching area..................sq. ft. z G+rer Distribution box ( L-- 'Dosing tank ( ) Percolation Test Results Performed by......................................••----......----••---•--...:........ Date....--:...------....................... Test Pit No. 1................minutes per`inch Depth of Test Pit.................... Depth to ground water........................ f=, Test Pit No. 2................minutes per 'inch Depth of Test Pit:':........:....... Depth to ground water......................... O Description of Soil........ --.....--••-------•--------------------------•---....--•--------•-----•--------------....---------.........................................�..---•-.:_........ x _ x •---------------- U Nature of Repairs'or Alterations—Answer when applicable_. --5/� `7?u.�, ....:.(Q :... —. ,�G.( ..--fig" --c1`' ` �1.1/� ............Y .................................................. Agreement: The' undersigned agrees to install the aforedescribed Individual Sewage Disposal System-in accordance with the provisions of TITU 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 lth. Signed ----- ....... (o�� -- Date Application Approved By................... ----. ...... �}_.........-•-•-----•-•----•-. ------•------------Daa- te------- -----•-- �`� •� Application Disapproved for the following reasons:.------".......................•------•--•---•--•----........................................................ --•-••--------------•--••--•-•-----.........--------....:---••-------------------•-------=---"---•-----..._..................------•-------•-----•-•---•"-------•--•------------:....--•-------.....----- Date Permit No. ..../.1� -•----.... Issued No..-SL-1 5 L/ � �7 Ficz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................I.,....... ................................ .........­.. .'--_V... .......OF Appliration for Disposal Works Tonstrurtion 11nmit Application is hereby made for a Permit to Construct or Repair ( -)-an Individual Sewage Disposal System at: <-�'- P'l ........... ..................... ...................... .......... .... ........... ........................ Location-Address of Lot No. I'—r ........................... ................. --- •- ----- ............. -------------- Owner Address ::f— -I --r--rC_ 94�1 1 �2. ................................................................................... ............... 'C Installer Address Type of Building Size Lot............................Sq. feet Dwelling-No. of Bedrooms.._... .................................Expansion Attic Garbage Grinder ( 9k Other-Type of Building ... ,No. of persons............................ Showers Cafeteria ( P4 Other.fixtures------------------------------------------ - Design Flow......_ .................gallons*per'persori"p* W ............. -gr day. Total daily flow.._.7;�...... j�a............__..._._gallons. P4 Septic Tank-Liquid capacity).M. ..gallons Length.-.__...... Width.-'-'........... Diameter................ Depth................ Disposal Trench-,No.­7................ Width.................... Total Length..................z Total leaching area....................sq. ft. Seepage Pit No...... ............. Diameter....Z.P......... Depth below inlet...4,..t........... Total leaching area............--....sq. ft. Z Other Distribution box (L-)- Dosing tank ( ) 1­4 Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I.....:..........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.._........._........... -------------*-----------*--------------------------"-----------------*....**-------------------------------------------*------------------------ 0 Description of Soil........................................................................................................................................................................ ----------*------*--------------------------------------------------- ........**-------------------------------------------------------------------".......*------*------------ ...... ...........................................................................................................................................I............................................................ U Nature of Repairs or Alterations-Answer when applicable.. ....... . ......N, ................ -------------------------------------------------- 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. -5--VVY Signed. ....... ....................0.......... Date ApplicationApproved By.................... ............................... ........................................ U V Date Application Disapproved for the following reasons:.............................................................................................................. ....................0................................................................................................................................................................................... Date PermitNo............ q.z.�..................... Issued....................................................... Date ————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77- ........OF' ........................... K�.............................. (Intifiratr of Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by....................e... C, ..............................0................................................................ -------------------------------- 7 Installer at......... -----------I A-'A_�L -1............? ............... .............................................................. has been installed in accordance with the provisions of TIT T7 5 of The State Sanitary Code as described in the V..' application for Disposal Works Construction Permit No.___-. ....... dated_...__......................................... I - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................Z-/ ^ �' (?_ A� � ...........o........................... Inspector............ -----------—--------------------------------------- ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TV.....OF ...................................................................... No... ......... FEE.... Disposal Works Tonstrurtion "rrutit Permission is hereby granted........�;._A. J2...... .... ............................................... ...... to Construct or Repair �_)_an Individual Sewa F e Disposal System at No...........15�.......j2�..CA4-C..S....Aj�L_/ ..................................................................... ........................... I / f k Street as shown on the application for Disposal Works Construction Permit Dated.......................................... ................................... DATE.................. Bo of Health ................................. ---­--------­ ` c r TOWN OF BARNSTABLE LOCATION �i✓�i`- .S ��'`l SEWAGE # VILLAGE GV, ASSESSORS MAP & LOT<=P4?--6 W INSTALLER'S NAME & PHONE NO.'190 t—a-W7 7 Clrr/-57- 9�X E= IF9.2-4 SEPTIC TANK CAPACITY /(da a z LEACHING FACILITY:(type) (size) Key NO. OF BEDROOMS PRIVATE WELL OR<I iil� F� BUILDER O OWNER �—Y'✓✓t/4-'t L DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No Q - 3L A-A- ° /,too ice\ 6 No...�--•-�= -�- �, Fria.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Apphration for Diupu ial Vorltg Cnvagtrurfiuu 11amit Application is hereby made for a Permit to Construct ( ) or Repair Oq�- an Individual Sewage Disposal System at: ........i5-..- - /...........................................�5 (�llq ............................. ............... .. ... J c t1 analL�........................................ Location-Address ' or Lot o. .................. ------.l !�`�-'�'� ------..&Ys'`��. (l. '4 ,a>�i�'csP"✓Ll—_:... ------ O timer Address a .... Cv u s`)_XArC�u-/ P7-a` C �6 --- -------------------------------- ----------------------------- .................................. .. � Installer Add ss UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-------------�----.-----.------------Expansion Attic ( ) Garbage Grinder (�—Ak aOther —Type of Building ...._--------------- ------ No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) d Other fixture ------ --••---•--------------------------------------------------- ---•-- -----------•.......--------------------••-••------•--- ------ - --- - - - W Design Flow..............................gallons per person per day. Total daily flow.-..........��.........-----.--...gallons. 1:4 Septic Tank—Liquid capacity........---.gallons Length................ Width---------------. Diameter---------------- Depth-------------_ W Disposal Trench—No. .................... Width-------------------- Total Length------------r------ Total leaching area....................sq. ft. Seepage Pit No--------_. Y..... Diameter------/ ------- Depth below inlet-----4........... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit......-------------- Depth to ground water....-...'..------------- fZ4 Test Pit No. 2................minutes per.inch Depth of Test Pit...............•---- Depth to ground water.-..-------.-.---------- 0 Description of Soil---------------------------------------------------------------------------------------- -------• -----------------•-------- ........................................... x V ...................................................•---•-...-•-•••-•-------•-•---------•••••-••......----•-----------------•---------------•----•-----------------•---- ................................ W x ------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------ -------------- - ---------- U Nature of Repairs or Alterations—Answer when applicable....-.4-4-0.-_-----/S� -----e 6 . -Q..:� .'/o • %� ! L.ty...!✓J td -��----Y--------f 'T..c Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant as en issued y th oard of health. Signed -------------- Dace Application.Approved By --------- --- ------- --------------------------------.-....-._.--------------- V C� 5 Application Disapproved for the following reasonr: ---------------------------------------------------------------------------------------------------------------- --------..........................------�-yy--------- -- —— --- — — — — — — — — — ———- --- ------- - ---------- ------------------.-_- -- --- -- ---- --------------- ---- ----- ---- ------ - --- -------------- ——-------- ------ Dace Permit No. -----/ _5— .- --..----------------- Issued Dace No.. /.0--q �. FEB... v..... .._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE AVVftrFa#iou for Binpwi al Works Cnoat,ffrur#ion "frani# Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ........ .......... ilLit r��S• ........................... -- ��J_ ��j}„v�/���a1L l ......................................... Location-Address or Lot No. ---•-............................................�'I' C , �5--------^'t =` :,'•----.._. !/.. .__�`' ,c �/r_�_/t s P_v✓�.� /��/ �Orw�n�cr �_ ,/'' ww�' Address •••_........._. W U l/CL� W/L1-S / i�(Cs -79: /_ / 7� r d✓J� --••-•-•------•-------•-•-------•-••--•. ............................................. ......... .......... Installer Address UType of Building Size Lot---------------.............Sq. feet Dwelling—No. of Bedrooms-------------�--__._--.________-__Expansion Attic ( ) Garbage Grinder (^- —/JCl aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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....G.........__. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.................... ..................................................... Date....................................... a Test Pit No. 1................minutes per inch Depth of Test Pit_----------------- Depth to ground water..................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----------------- ................................................................------------•----......................................................... 0 Description of Soil........................................................................................................................................................................ _` UW -------------------------------------------------------------------------------------------------------------------------------------------------------------------------%....-••-•--------------------- 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of CompliaA_'� as been issued y�e oard of health. / _ 9�s` Signed .._............... .......... .............................. .........._ ...._..../Dare....._._....._... Application,Approved B ... ..�..�/ -5- PP PP Y ... - Date. Application Disapproved for the following reasons- ------ ------------------------ ------------------------------------------------------------------------------------------------ ...............-------------------------------------------------------.............------....._-------------------:-------------------------------------------------------------------- ....................................... ^ Date Permit No. ---- `7------- .. 7._-------- ---------- Issued Date b t . THE COMMONWEALTH OF MASSACHUSETTS 7- BOARD OF HEALTH TOWN OF BARNSTABLE (ILIEr#iftctt#e of Compliance THIS IS TO CERTI�That the Individual Sewage Disposal System constructed ( ) or Repaired (p� ) by ------------------------------------- /5�� .e`---- -...... Installer -- y --------------w � ---------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental 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................. .....�r.t ....."'... ....'........t..°� ..- ..._..._... Inspector ------------� ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.---.... FEE.............. M �to�oottl ork� �oaa�s#r�r#ion rani# ' lLroc:Ul;� G.,..s... Permission Is hereby granted-----------------------�-�---��--------•-•--------•---------._..--------------------•-------- .............................................. to Construct ( ) or Repair (>4 an Indiv' al Sewage Disposal System �. atNo-------------------------------------------------- •-- '4� c S -- street ��-jj as shown on the application for Disposal Works Construction Permit No1���� _ Dated-------�..^� -��_._...... ( Board of Health DATE_ FORM 36508 HOBBS A WARREN,INC..PUBLISHERS i No.... /'...... Fis....15..00........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town..................O F.................B.arn-s.table.....---.....................---------- Appliration for Rspwial Works Tomtrnrtiun Vamit .• Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: . 8 Pirates Way, West Hyannisport ................-_..................--•-....................................................... ..........----•---.....-----•-•--------------•-----------•-•..........----•---.................... Location-Address . 'Howard Small 8 Pirates Way besot Hyannisport ..................•--•-----•---....----.....-•---•-----------------------------------------...... ...... --- .................... w A & B Cesspool 9WYvice 128 Bishops Terrr�sce, Hyannis Installer Address Q Type of Building Size Lot..... ......... .........Sq. feet Dwelling—No. of Bedrooms..............................................Expan§ion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons_._.___.___................. Showers ( ) — Cafeteria ( ) Q+ 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. 1................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........................ -------------------------------------------------•---------.........-----•••••................---•--......................................................... 0 Description of Soil-----------S.aSld...........................................................................................................................................•..... V ---------------------------------------------------------------------------------------•---------------------------------------------- -----------------------------------------....................... U Nature of Repairs or Alterations—Answer when applicable....11_QQQ....(one---t.hous_and.)...gallon............. ...s.t.onempac.kad...oxerfl ow••••••-••--••-•-•--•••.............•••••--•--•-•---•----•••••-••••--•••---••••••-•••••••••---•-•-•----•-•••-••-•-•--•-••......-----•••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT a 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 y the b d o health. Sim. ------------------------------ •....9_1.1 ZU..... ,A� at Application Approved By•• rl =f �!1 ...................... ----- Date Application Disapproved for the following reasons:--••••••••••---•••••--•--•---•-•----•---••••••••---••--•----•-••----•-------••-••••--•••----••--•-•-••........_ Date -------------------------------------------------- .------------------ ...-••-----------------------......----- •---- PermitNo......................................................... Issued_....................................................... Date gr f r , No ' F>�$ J , t THE COMMONWEALTH OF MASSACHUSETTS x ! 4 � , BOAR,D -OF ..HEALTH f 14 iration for Uhipniia1 Works Tnmunrtion rrntit Applicationis'hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal Systen at"�'< 4 l y Y E3tl9$ i I9Ylisport w ..:. - ,...! ..... •-•....:�.••••.... ..........•--•-•. .................................................... -.. .... .. ..._ -# � ty Location Address �y W or t oy " 8 Pirates ITY, � 4o 't... .......................................................... W A 128 &ash®ps T � Sege, x a -< --- g� Installer Address * d Type 6&B4ildiitg Size Lot___ h Sq. feet tl do f.s s M 4 g �F a Deli p , No of Bedrooms_______.✓___________________________________Expan ion Attic ( ) Garbage Grinder ( ) aOther Tyype;of Building ____________________________ No. of persons_............................ Showers ( ) Cafeteria ( ) Otherfixtures .•-•-••--••-• ------...--•--•••-••--•------•-•-.....--------•-•--•-----•••-•---------._............•---••---- ------•--••- W Design ` s�'t ............................gallons per person'per day. Total daily flow--------•--=•- . "4 `----dons. WSeptic T#ai%' I iqu*d capacity____.__.____gallons Length................ Width................ Diameter.. .% I llepttll _.________... Dis osaiTi ench Width___________________ Total Length.................... Total leaching area s sq. ft. x P i Seepage?Pitr No' f t x :.__. Diameter_____________________Depth below inlet.................... Total leaching area yi4 r^, .......sq. ft. Z Other Distributi6n box ( ) Dosing tank Percolaa6n4�P6tResults Performed by...................... Date_. + s' . --••• ------------- aMt-!l�it NO 1, .................minutes per inch Depth of Test Pit____________________ Depth to ground water .................. a` (s, Test�Pit,i\1ot _:�_ _.-------minutes per inch Depth of Test Pit____________________ Depth to ground water ................. �� z a" =- ------------- O, Descrijft,' .....land... =•-------•--•..............................•--------------------------------------------• ------ ------------• x irc. . ... a W a y0ve.f J _ y}. ........................................ _ _..____._ ..__._ UNature o xRepar,s or Alterations—Answer when applicable ,.1,pWQ-_(XIA. UOUS ---9�e�. 9ti•_••••_•.•_-- � . .6101W ._Q1terllamt........................................................................................... =.................................... 4iE1t x0 i Agreement��� ,,, The furtdersigned, agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the proaYiit�ns of cI.''.:; ' '5`of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu y the by d health. - : Si _. 4�.L��:18 ,p Application •Approved. BY•:••_ ----...... ---•------ �1" Date APPlieaiori) /Disapproved'f or the following reasons: Y £r�y4iu� Date ��. f *} + �enngt, o.......................................................... Issued.......................... v ..... Date 51 .THE COMMONWEALTH OF MASSACHUSETTS 1T F 2 h t A r �xt BOARD OF . HEALTH s �' .......................T—JDWA......OF........: ix27ata.,ble.............................. S _ Y, That the Individual Sewage Disposal System constructed z( ) or Repaired O TH15 IS TO GERTIF ` by ` az p � '��ap0.,0?4; : e c ,... 8.�3ae ox! e--rraq@•s...9vann�s ----- V----------------- . r t _at.... i �� 8 P44rates Wadi, West n .sp ... - ----- �i has bee"instilled in°.accordance with the provisions of m F 5 of The State SanitaryVs/ccr>bed'in the ---------------------- application for Disposal Works Construction Permit No. +. 1r dated TH1E ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE,,THAT THE SYSTE �RWI "F. UNoC,TION SATISFACTORY. 00 1 DATE F ) I'^{w, # z + THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF HEALTH e N ._...:. VA""" F E �0....... E � i n � nrk.5 Tnn�tr trrn' rrn tt t t Peritiission is Hereby granted__ __. ... ... ' sSp00 ....SeY'V�CP-R.._128•... 3_ 9hmE 'aYann3� to Conuct,;(e on Repair ( ) an Individual Sewage Disposal System ¢ at No.,.. _ :#--ti & _s Wes G Street Hy81"1T1�gXJC3�'� �' �OYf��(�...smt ill .------. ---- t �x4 �?� % / �� . as show tithe application for Disposal Works Construction P t No. __.. .. .._ Dated....9 + � . .............. rMR x � Board of Health DATE-�!,4;P FORM I,2;SST§)' ORBS &-WARREN. INC., PUBLISHERS