HomeMy WebLinkAbout0151 PITCHER'S WAY - Health 151 Pitcher's Way
Hyannis
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LOCATION SEWAGE PERMIT NO.
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VILLAGE �4
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INSTALLER'S NAME t&ADDRESS
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BUILDER OR TT
ER
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DATE PERMIT ISSUED " ..
DATE COMPLIANCE ISSUED
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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-
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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 ............................................
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- _.....- ••---_...
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 •.....................................
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