HomeMy WebLinkAbout0180 SCUDDER AVENUE - Health Is-
180 <.SCUDDERP, AVE. , HYANNIS
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L O C A T ION �� SEWAGE PERMIT NO.
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VILLAGE sue' 1eo
I N S T A LLER'S NAME i ADDRESS
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BUILDER OR OWNER
IV I G lC t,- 1 S 146 H o S
DATE PERMIT ISSUED 9 ) z31g)
DAT E COMPLIANCE ISSUED /��/� �
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THE"COMMONVi/EALTH OF MAJSSA.CHUSETTS '
BOAR® OF HEALTH
.........zf.......................OF..... :....C6:::1q........./..a'l----......--------•----•--------•---•----
Appliratinn for Diipnsal Works Tonstrnr#inn ranfit
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
.G.C? 0_.. ...---...................................................cF d ro %y2! ✓`7;&gi...............................................................
Location-Address or Lot No.
. ?�1.. i _ t_.... f :/1....`11�....................
..................
Owner Address
a -------------------------------- •-•---•-•-- ------------------------------•-------.---.
Installer 10e, Address
Type of Building Size Lot----------------------------Sq. feet
U Dwelling—No. of Bedrooms--�................ ----.Expansion Attic ( ) Garbage Grinder ( )
'PL44 Other—T e of Building ............... No. of persons-------.----_---.----.------ Showers — Cafeteria
a' Other fixtures ------------------------------•.
Design Flow....... _rt__�..........................gallons per person per day. Total daily flow...........3-3-P.....................gallons.
WSeptic Tank—Liquid capacity/QP..gallons Length................ Width................ Diameter---------------- Depth...............'
x Disposal Trench—No. ..--.../........... Width.ZP. _...... Total Length Total leaching area?Ca_
P � g g -----sq. ft.
Seepage Pit No-_------------------ Diameter.............--..... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank
aPercolation Test Results Performed by---�Clak!e��e...�r... .................................. Date......`�,1:�, ..... - ------
Test Pit No. 1 ' minutes per inch Depth of Test Pit...' ...-.__ Depth to ground water------------------------
93:4 Test Pit No. 2__m2Qo......minutes per inch Depth of Test Pit..l.?.j-------• Depth to ground water........................
a ------------------------ ---•----•----------•.......................................................................................................
0 Description of Soil......_.� Z__._``__ E- c
-----------------•---••-----------------------------•-----------------•---------------•-----------------.._.......----
x
U .........................................................................................................................................................................................................
w
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U 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 4IT 12 5 of the State Sanitary Code— The undersigned further agrees not to placVthhesy tem in
operation until a Certificate of Compliance has been issued by the board.of health.
Signed--.... ... _...__.Application Approved BY•------�=Z4-----•--•-------•------------------------•---....--------•-----------•-•----•--
................. ......-•-•-•.
Date
Application Disapproved for the following reasons-----------------------•--------•----•----...-----------•------------.---------•--------------------...........
.........-•--------------------------•--••......------------....-•--••--•--....------........----------...-••---•-----------. -------••--•-••--•. -------------•• •--•----•------•-••-•---........--
Perro/ Date
t No...... ......................................... Issued........ .....................
Date
o.-:a.._.;.. __--- F.Rs...........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/..f.......................OF.........1/ �-//�91....._.-.-.
Appliratiott for liopootal Works Towitrurtion runtit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
of.lam y _......S��lc!.c.,;'...J!7Y.�......_../7�:�F��:y.�!_�.�.. - .... ......_....
... ............. ••---
Lo tion-A ress
!1.il ..a..............r'� •l_._ /�i Gli{s �GS/ r .... E!'!_.S.GIG'Cl�...�d.:�./....s:.....___..
caner Address
a .................................... ............................................. ----------------- ---------•......
Install Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms__,_3..................................Expansion Attic ( ) Garbage Grinder ( )
aa Other—T e of Building No. of ersons____________________________ Showers
YP g -•--•-•-------------•------• P (�) — Cafeteria ( )
Otherfixtures ------•-----------------•--------•--------------------.••••-------••-•-••-•--•-----•----
W Design Flow............................................gallons per person per day. Total daily flow............S_-X _..................gallons.
Ix Septic Tank—Liquid capacity/GQ Q_-gallons Length................ Widt�--------------- Diameter................ Depth................
Disposal Trench—No......1............ Width...l?�. ._.___ Total Length---_ __ ._. Total leaching area_-„2__4_G...sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area__................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by..__ /. � ' J�� ...__, i! _______________________ Date.........��Xs
Test Pit No. lZV.lf........minutes per inch Depth of Test Pit---1--2 ..... Depth to ground water------------------------
PLI Test Pit No. 2�_ 1._..minutes per inch Depth of Test Pit... Depth to ground water________________________
94 _
Description of Soil --1 rC,k �? ------------------------•-------------------------------------------.....--••-...---•----
U •••••-••-••••-••-•••--•---•-•--•-•-•••-.....-•---••-••---••••-•-•-•-•-•-••••••-----•••---......-•••-----•-----•••••-------•--•••--••••-------••--•--••-•••-.....--•••-•-••-••--•---••-•-••••-•••---••-•-
W
------------------------------------------•---------------•----------------------•------•-------------------------------------------•-------------------•-•--------•---------••---•-••-------•-----•--
U 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 TTT
p S of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i sued by the board of health.
Signed.` .............................
Date
ApplicationApproved By---•-•-••-••••r•--•----••-•••••••-...--•-------•--•--••--•••-•....--•...•••-•---------••••-•_..._
Date
Application Disapproved for the following reasons:-----•--------•---------------------•-------•-----------------------------•---------•-••--•-•--•-•-••...------•-
.......................................•--•-••-•-••••-•••---•--•••--••••-----•••-------------•...---•--_..
Date
PermitNo........................................................ Issued_..........................
....
/ Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........OF.......
Trrtifiratr of Tompliaurr THIS IS TO CERTIFY, T the Individual Sewage Disposal System constructed ( �or Repaired ( )
----------
by--------------------------------- :.. �. .L'�_------------___--I -----•-------_-___---------------------------------------_______-_-_________------•---______________-_
Installer
_'' -= ! .
has been installed in accordance with the provisions of I!Iy; � 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.- ---------------- dated................................................
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE......................................9,'z_Zf_---------------------- Inspector---/Z/d. ............................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..............r... .......................OF........... ........................................... r� -
No
�io�roottl o � � tr�i�o rrotit
Permission is hereby granted............. ...................................- -•-----••--••-••-•--•-•--•-••-••-•...-•-•••••••-•••...._........_--•-••
to Construct ( c_-Yor Repair ( ) an Individual Sewage Disposal System
!' � - - ----------
/` lJ __- z .._._...................................................................
Street;;,
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
Boarof`Aealth
DATE •-3•-•..............•--•--•-••__•_-•-
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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MARSH IN BARNSTABLE
LOT B \ I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE `ST MAIN ST
AS/LOT 60-2 IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL
STANDARDS FOR THE PRACTICE OF LAND SURVEYMC IN `d
TH- COM�ONA'ALTH�F MASSACHUSE
'� rn PAUL A. MERITHEW, P.LS. A E Q J
LOT A N can O�J�w�
AS/LOT 60-1 _-..:
PzUL � LOCUS
� WETLAND
lip AREA = 6,280 SQ.FT / ,� 9�� _ .�;;,;• ;
LOCUS MAP
FPS '
LOT C
AS/LOT 60-3 PLAN OF
LOCATION OF WETLAND FLAGS
LOT "D„ LOCATED IN
tq �. — NO-
TOTAL
AREA - 24,816 SQ.F7' so HYANNIS, MA.
AS/LOT 60-4+ �¢ , 25 27' PREPARED FOR
N62;24 01'E'
CORD SHORE
9 �'9l CB f�c AUGUST 18, 1998
AS/LOT
72
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ASSESSORS MAP. 289 '` ,5ILA
PLAN REF` 360/10 „::;.#•.,,;..
DEED REF 9821196
RES. ZONE.• 'RB"
FLOOD ZONE- "C" �N>, 20� � YANKEE SURVEY CONSULTANTS
P.O. BOX 265
COMMUNITY PANEL 0' 250001 0006 D �,� O 00 UNIT 1, 408 INDUSTRY ROAD
7102192 AS/LOT 10 MARSTONS MILLS, MA. 02648
128 N_ ���, PH.(508)428-0055 - FAX(508)420-555J
GRAPHIC SCALE
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( IN FEET ) 51663 DCB
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