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HomeMy WebLinkAbout0151 PITCHER'S WAY - Health 151 Pitcher's Way Hyannis A= 289-016 r ° a LOCATION SEWAGE PERMIT NO. �- VILLAGE �4 A"/ tv x nJl INSTALLER'S NAME t&ADDRESS I Cz,), iCt, BUILDER OR TT ER eo l e-c-r C,4 S 0e1 U DATE PERMIT ISSUED " .. DATE COMPLIANCE ISSUED � - 1� -` �, v { iIII all 6) pj _. to `� :, Q �q THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF A`LT pamatgbte C nservation Department TOWN OF Y ` # ifi inne f or Disposal Marks Tonstrur#iun 1knu # Application is hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System at: ..........1.. � el?i TCH 2P_M s tj A!. ............... ...... .:. ....._......................... •---•-••--..........----•_.........._...... - ocation.A r¢ss or Lot No. Owner Address a ........... .-1--• ... !: ..Co................................................... ....... r��.L�/�:. t�1.• ................-----------..................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._..........................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures .................................... ............................................................... er W Design Flow............................................gallons per person day. Total daily flow............................................g0lons. WSeptic Tank—Liquid capacit/L t.M..gallons Length. .K..... Width..Y..?o. Diameter................ Depth.. ....... x Disposal Trench—No..................... Width.................... Total Length................... Total leaching area................-sq. ft. 3 Seepage Pit No..................... Diameter. �/Q. Depth below inlet................ Total leaching area-21...sq. ft. Z Other Distribution box (*) Dosing tank ( ) .5-11 4r 6 10.P .4 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........................ x ------------------------------------------------------------------------------• ........_.......:..------........ ........ .......... -....... . 0 Description of Soil.....................................•---................-•-•--------............_....--------.......................................................................... W •--------•--......--•------••-••••••......•-----•.......--••----......-•••••--••---•..............................•••..........:..............:...... ................................................ x 6 !��f_.._..�'-✓l(...._._�......................................... U Nature of Repairs or Alter tons—Answer when applicable.10 _ ....... ................. .. : ..._ ,. -....................----............_.....: Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITiL 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. ......:(./1.,/ ..................... e.. Date Application Approved BY ... ------ ......... ... Date Application Disapproved for the following reasons:.......................................................................................................... -•---••.................•---.....-----......-•--•--•-•--....................--••--•----................-•----•...---.....--•...--•••------...........-----------..........................•---•--------- Date Permit No.......�,3...-.-...;;L.K. ................ Issued...................-Date........................ .. x Fzz.:3Q_.......... _ THE COMMONWEALTHI�OFaMASSACHUSETT5- - BOARD OF EALTH TOWN OF Y�1RM11JT- plirtttiott for Disposal Works. onstrudion rrruttt `.. Application is hereby made for a Permit to Construct ( ) or Repair (�/f an Individual Sewage`Disposal system at Location Addrgrss r w or.Lot No. .......... .. ..��...W e:Al..................................... -•-----11�- -..A Z!V�% s...... ........................ ........ Owner •Address a ... izc..Co......... ............ - ....... �u t. : .............. --........---•-- Installer Address Type of Building Size Lot............................Sq. feet �..� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 1.04 4 Other-Type of BuildingNo. of persons...:....................' Showers — Cafeteria dOther fixtures -----•--•---••--•-----------•-----•----•...................----•-......------•----------..........................--------......::..:.......---•-•---- Design Flow.............................................gallons per person per day. Total daily flow.............................................gallons. Septic Tank—Liquid capacity/lfuA.gallons Length.T.-:.6 1,.. Width..4/./�Oy Diameter................ Depth........... " Disposal Trench—No..................... Width.................... Total Length.........j:......... Total leaching area.....................sq. ft. Seepage Pit No............ Diameter.&k./Q.. Depth below inlet..... .......... Total leaching area.. 67 sq. ft. Z Other Distribution box O Dosing tank ( ) j Y`r' 0 ~' Percolation Test Results Performed by..................................... •--• -•••--•--•---•• ......._..... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water�, ........................ L� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground Ater........................ Q'+ ...................... -'•................................................................................................................................ ODescription of Soil..............•------•--....................-•-•-•-•--••---•-•--................--------••-•--......................----•----........................................... W •-•••----•-•..................•---•----•--.........--•------•.............•••--....................._...........--•--••---•-....-•- U Nature of Repairs or Alterations—Answer when applicable.,:_ . . . '-=e-............................•---...................---...----. . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T 1L 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 _b�y,.the 'board of health. Signed. ........ .............••---....--- Date Application Approved By.............�_e. .. .. .e.a ...•._.. Date Application Disapproved for the following reasons:............................................................................................................ .......................:................................................................................................................................................................................. Date Permit No...... ...-... :. . ' •....... Issued............... .................... ............. .. r Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF A.LTHC gr� TOWN ofiQUH ffrrtif irtttr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (k10.7 - by................ ......... .....��. :.1�::...... ............. ......................................................................................................... installer i y S at............../..� �.....�...7'>.t!!�"elf:-5 ....-.r�... ......_... ....• .............. has been installed in accordance with the provisions of TITIZ 5 of The Stale Sanitary Code as described in:the .application for Disposal Works Construction Permit No....... 3.-=...2LY-:- .. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION c�SATISFACTORY. DATE.................. ..:..1.3.......................:....... Inspector......-- .................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e TOWN of I Z�I:O: No..9. .-. F$$..:� .......... Otsposttle;Works Tonstruttiun f rrmit Permission is hereby granted......._ 5...... J v :.... �....................................................................................... to Construct ( or Repair (� an Individual Sewa a Dis sal System at No.:........ 1.... '." dP..11:.`:k.....w ........ � 1 //t/ .. .:.:.................:.................................. .... ..... as shown on the application for Disposal Works Construction treet PP P Permit No)�ayy Dated.......................................... v. ...................................................... Board of Health DATE.............•-.... .... . LOCATION SEWAGE PERMIT NO. 4IL- LAGE INSTA LLER'S NAME a ADDRESS Robetc r a urK fie, 1aAc motet-1 BUILDER OR OWNER hl�Ji4 mat s D A T E PERMIT ISSUED DATE COM.PL. IANCE. . ISSUED 7` 7,,r- �_ � � rd n "�� 2 �� v .� � ti o `� RA J 8� . f- 1 7� No.._...... j3_ p? F�s.....2.:................_ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...............r_'oL..�. .. .....OF........Ad,4411........................................................... App iratiun for Diipusal Works Tomitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --•-�• - -c .�............ ..................................................... ..................................................................................._.............. Locati Address o t o. C�e Cv/D ....,��__eI •------------------------ v..... - IG U ............................................ �c - _.....- ••---_... m ®�• a C f ' [���WnW ' Q7C v A, !y �V ....._... _ ............. Installer Address UType of Buildin Size Lot...�/Udd---------Sq. feet ,., DwellingsIgo. of Bedroom ........................................Expansion tic ( ) Garbage Grinder p`4 Other—Type of Building_f_..._..... No. of persons............................ Showers Cafeteria ( ) Q, Other fixtures -----------•... •------•----... . W Design Flow........ + .........................•gallons per person per day. Total daily flow..........��Q_... ...............gallons. W Septic Tank—Liquid capacity 00®-gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................. Width_._._ .......... Total Length..........• _ Total leaching area..... ........sq. ft. Seepage Pit No.____....../_...... Diameter............ ..... Depth below inlet.................... Total leaching area...�Q__...s . ft. � P� � P g q Z Other Distribution box ( ) Dosing to Percolation Test ResultsPerformed by.._._..__.�Z.�XX)W. ........... 2V................... Date... ......�� �� W Test Pit No. 1................minutes per inch Depth of Test Pit.... . ........ Depth to ground water_-_-_-_______.__---_-__. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .........---------•- • •---------•----•---- --•----•-------•--------•-•-------------------•----------------•-------------------- O Description of Soil.._.._._ 0%.._.....���...... � ....� ��.._ _ •--••-------------•----•--- �1? ' C.O.---.--�.�/--i..----------I---s��.�_'-►---e-._--- --- -�--'-•-------------*•-------------- W 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 TITU 5 of the State Sanitary,Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued b the rd of health. 1-5 g ' L .2 �7� t ned--- --------- • ............................................................... •. ---.1..................... Date Application Approved By.. � .• :�... Z 7 ' Date Application Disapproved for the following reasons:.............................................................................................................. -------------------- ------------------------------- •----------- ....__.._..-------•--... --•--- -------------------- e --------------•-------------- ` Date PermitNo......................................................... is-cued•---• —y•/... 0..-•---•-----•----- Date 6 No.. -.1 s_ Fizz.....�-�-.�'�� ' ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... /_04,A......OF....... r, ..................e............ _...__............. Aliptiratiun for BhiposFal Works Tonstrnr#ion thrmit �. �f Application is hereby made for,a Permit to Construct ( ) or Repair ( ) an Individual Sewage`Disposal System at /EGG ............................ .....••----• ---•--....... ---------- .... ..... ... Locate ddress r o .. - ..... . . ............. -.. . ............. Installer Address �f ��t Type of Buildin r� Size Lot...... --------------Sq. feet aDwelling No. of Bedroor _. d.'�..............................Expansion. l�ttic ( ) Garbage Grinder (14•-• p, Other—Type of Building .---._ -t:......... No. of persons............................ Showers ( �) — Cafeteria ( ) a then •- - ..........gallons Design Flow.- res ---- gallons per person per day. Total daily flow...._..._ ____ _______________gallons. WIY4 Septic Tank—Liquid capacityp P.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...C;,.2p ....sq. ft. Z Other Distribution box ( ) Dosing to ) o r '-' Percolation Test Resulxs Performed b ._..__.__ .___.,,. .� Date.:_ .._��...................... a Y -------------------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit........__.......... Depth to ground water_-_________-_-__--._---. GT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 D Description of Soil lI' / A`IY6 .................................... U ---------------- ------ *......... ---�­ -------�-----�__ ~.--c,--6�✓Yf�-------� -`-�l1!�--``---•-- '"----u.,-----------------------------------------.---- W ----•----•-----------------------------------------•------•-------------...........----------•--•-•------------•-----------••----•-----------------------------•----------------------------------•---- 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 T I T I E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee i issued b ,the ajard of health. igno J ✓. ............................................................................... Date �APPlication Approved BY ` ------ Y --------------- . -'-- ---7k....--- Date Application Disapproved for the following reasons-----------------------------------------------------•-----------------------------------11------- ..._... •-----------------------------•--••------------•-----••--------- ----•_. ..._.. ------•-• •-----•-----------------•----------•---.........-•-•-•... •..- -•-------- Date Permit No .__ Issued-_ .�. (.__ -.... --•--------- Date THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH ,/l`w// ��,/ �¢ - ..........................................O F....... I.,.f : .............................._.............. CnrdifirFatr of from �i�nrr THI S C TIFY, That the Individual Sewa e Dis osal S-stem constructed Re aired yj g P �' ( P ( ) b Jae at ------------ 'J� has been installed in accordance with the provisions of 5 of The State Sanitary.Code as described in the application for Disposal Works Construction Permit N :� __.'.. ----------------- dated F"" ". ' -"""' THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. D ......................................... Inspector.. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH dt 7i +'` !1fi....................OF.. ....: +± /. .... ....... .................................................... .�. "" ,�'''``� No............ .. F>I y..................... Diupo a ks Tonotr un permit Permissio ereb ranted .. U___�. Y g ---- ----------.--•-•-------------•- •-•----• •--••--••---- to C !o Repair ( a } ividu�, ge y at .................---.-- -•-•-•••.1. .............-- .....................................- ' � / .1Y.!................... Street as shown on the application for Disposal Works Construction Pe it No. ._._ .._. Dated......__ .................................. .................................. DATE ��� Board DATE...................... -ZR-_74 •..................................... FORM 1255 HOBBS &WARREN, INC.. PUBLISHERS .'T . f� 1-7 oAc-t._ti �t i s tto -4 3 Urst� 1r "OO a GA t:IS r . q . i cZ'to#A A¢dA a 35� e s. W. r+� p cotwdTtoo� Q�TG . t�rw T oV-tom. -tom° ut LV .. -. 44 .. Drain Ear n ,?rs te 3 3 ` To P F&JD ° too' AQ 8 .�. 9r ;err �s '' �IIFL 4= n � U. L NP4 "�c+a. 1000 kwIV. ,A � sdp ¢ pvr �tsT c yAc.. 9`.710 _ -sot1. lG1J Sax. `(G d T14Q14 7. 46. 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