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