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Home My WebLink About0605 PITCHER'S WAY - Health 605 PITCHER'S WAY Hyannis A= 270 - 235 1 ' AT ION SEWAGE PERMIT NO. d l k R Y7Q RT- is VILLAGE INSTALLER'S NAME & ADDRESS K7-ul/i K B U I*L D E R OR OWNER AA PA)1S DATE PERMIT ISSU € D 3_ 2Y` <72 DATE COMPLIANCE ISSUED a _ � , � ._.. w N •.. ................... THE COMMONWEALTH OF MASSACHUSETTS rBOARD F HEA T x �-taco-.....oF... ..... , . ... .....= Appliration -for Diapatiai Work.6 Cn ptrnrtion Vrrutil Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal 3Syst t • l l ar' Lc Lam ` 7 . --------•----------•---------------------------•-•---............ .......... .................... Lo lion-Addres or Lot No,- r w P t6r Installer //� Address Type of Building Size Lot... .7.7 f Ili. . ----- feet U Dwelling—No. of Bedrooms__________ _____•---.-.-.--___-.___-.-__Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons..-_____--__________.____._- Showers ( ) — Cafeteria ( ) Other fixtures _ w Design Flow................. V...................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_�Q..�--_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Q� �c - 2 -Z 2-- 7 7 aPercolation 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_--_-..-__---_---_.__.-. .. . - Descri Description of $oil---------- 1�`G = ` �� (( U 1 r 71 � � P ---------------------------- >zT� ?P�ea� � _-G' ------------------------- w V 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 Article XI 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 health. g �� ------ Date Application Approved By----- ----� •----• .. ... A.Y �... .._..-•-•------- --- - -- /--�-�-- Date Application Disapproved for the following reasons:................................................................................................................ •-••-••-••--•••---------•-•-----••--•------------------------••-•-•••-----•-•-•-•-•-••-•---•••-••---•-•-•...-•-••---•------•...---•••-•-•-•-•----••••-_....-•----------------------••---•-•---------•-••- Date PermitNo......................................................... Issued..... .........................................7 - Date No.._&k... ................... THE COMMONWEALTH OF MASSACHUSETTS _-, --- BOARD 'OF HEALTH.,,/ OF-/ .................................................................................... Aplifiration -for Ditipwiat Oinks Tomstrurtion Pumit Application is hereby'made for a Permit to Construct (1/1) or Repair an Individual Sewage Disposal System at;, .................................................................................................. ................................................................................................. Location-Address or Lot No. .............................................................................. .......Z........ .................................................................................................. Owner. Address .......... ............................ ................................................... ......................................................... Installer Address Type of Building Size Lot...44 .....Sq. feet U Dwelling—No. of Bedrooms__________ ________________________-__.Expansion Attic Garbage Grinder Other—Type of Building .--------------------------- No. of persons-___________________-_______ Showers Cafeteria Other fixtures --- ------- ------------------------------ ------------------ ....................................................................... ------- - - Design Flow_________________`7!9-------------------gallons per person per day. Total daily flow__.__.__.___..._._ 0...........gallons. 9 Septic T.mk—Liquid capacity------------gallons Length................ Width_-___-_.__.-_._ Diameter__-__---_--_____ Depth-__-_-_--_-__--- Disposal Trench—No_ --------------------- Width._.___....__.___--__ Total Length--_____.__-._._._._. Total leaching area------------------sq. f t. Seepage Pit No_____________________ Diameter:___________________ Depth below --- Total leaching area--3q--Ft---sq. f t. Z Other Distribution box Dosing tank 2 -A-X- 77 6 aPercolation Test Results Performed by------- ----------- ----------------------------------------------------- Date--------------------------------------- Test Pit No. I................rninutes per inch Depth of Test Pit____________________ Depth to ground water-.._-_.-__--____.-_--.. Z' 4-q Test Pit No. 2----------------minutes per inch Depth of Test Pit--________.___...... Depth to ground water----------------------- P4 -------------Ai----�w.......0 -------- ---11.� .. ... ---------------------------------------- ........... 0 --- AV-9 A f 'I Z. C- --------------/--------- -------------- Description oil............ .................2,4, 1 r I I � y U .........1.-^,J. ......... ---~---d0f--Ae*00------------------------------ W Z ------------------------------------------------ ------............................................. --------------------------------------------------------------------------------------------- U Nature of Repairs of Alterations—Answer when applicable-----------------------------------------I------------------------------------------------------- ------------------------------------------- --------------------------- ------------------------------------------------------ -------------------------------- ------------ ---------------------- Agreement: si a wage Disposal System in accordance with The undersigned agrees to install e aforedescribed Individti'le Sewage the provisions of Article XI 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 g 01 ned./-�-'- 114c�' ...................... Date A Y-7 Application Approved By............. -- - -- - ------ •--------------- ---------to----------- ----------Z., Date Application Disapproved for the following reasons______________________________________________________- ---------------------------------------------.............. .........................................................................................----------------------------------------------------------------------------------------- --------------------- i Date PermitNo---------------------------- ........................... Issued...................Date----------------*................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77xn"-.......OF-....... ........................................................................... ObTrtifiratr of Tom'Plitturr THIS is Ta CERTIFY, That,the kAvidual Sewage Disposal System constructed )-�o;r Repaired by........................(2--------------------------------- ..... -------- ------------------------------------------------------------------------ ............................ Installer at ------------ -------4---- //.............I...... ................................ ------------- ------------ ............................................................................ has been installed in accordance with the provisions. of ArtkT'e'KI of The State Sanitary Code as described in the 1 17 application for Disposal Works Construction Permit X - ................... ---- '0-A,.............. dated.. .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------.................................................................... Inspector--------------------------------- .................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......OF....... ....................... ......................................... ........ .. FEE2--•2............... %rupaiial Permission is hereby granted____.-/C- ................................................................................................................. to Construct •,( Olr Repair.)( an Individual Sewage Dispq,,�a`]�, System ...... ........... ......... ...................... ............. ------------------------------------------------------------------------------ Str.cei/' 3 - ZY-77 as shown on the application for Disposal Works Construction Flerwm No-_-_ - ---------- Dated---------------------------------------- Are Z � e- �4-' ------------------------- Board of Health DATE................................................................................ FORM 1255 H01313S & WARREN. INC.. 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