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HomeMy WebLinkAbout0048 SEABROOK ROAD - Health 48 Seabrook Road_ Sewer ,Hyannis 1 q'_ 307- 200 I� �j a' / No. / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Disposal 6pBtem. Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(Al ❑Complete System ❑Individual Components Location Address or Lot No. g ! ?> Owner's Name,Address,and Tel o. 0Y,4�$' 5yCz u� t 4A,,�i� s FFM Assessor's Map/Parcel 3o-7 .;2,0® b wES--r &f V*1,V fSPcgl 0 * 1 Installer's Name,Address,and Tel.No. d9.477�—RS 7 7 Designer's Name,Address,and Tel.No. �f CA® N5 ��T�Q U C- Type of Building: Dwelling No.of Bedrooms Al -4 Lot Size q j sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) A 14 gpd Design flow provided A gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health Signed Date �?—,�640(3 Application Approved by Date ^�3 Application Disapproved by Date for the following reasons Permit No. l ?j �j�� Date Issued M No. l Fee 2 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application for bisposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(A ❑Complete System ❑Individual Components Location Address or Lot No. q$ SEx_B wr_ &ciD Owner's Name,Address,and Tel.No. P 3o ®Q tfy� ,$ 6 Tw�rr t4 6�EIVJUJI E��Fu 01 Assessor's Ma /Parcel / A Installer's Name,Address,and Tel.No. 5_6$-g77 4TS 7 7 Designer's Name,Address,and Tel.No. 4W6,006 490T801< S 4XICG L�1 .r GEC Type of Building: Dwelling No.of Bedrooms N Lot Size 47± sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) IQ gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in a cordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of KCo pliance has been issued by this Board of Health. /Signed Date /�-ab-o1U�� Application Approved by / Date g -" _(3 Application Disapproved by Date for the following reasons Permit No. o�U I�j ej 1� Date Issued TFY E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposalsystem Constructed( ) Repaired( ) Upgraded( ) Abandoned(x)by pQ �n —67_M�� L<65 � at�Q '`` / � JJ�, _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 76 " 3I6 dated Installer d,4j0E4ojP6 Lc J C. Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will-fun.ction,pde sgned. Date ` 1'i '� Inspector , ---•------------------------------------------------------ --- No. 0_0 3 - 31/0 "),-5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(X) System located at P-D 40 N�""1� ®—� V - and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. c ) Date �j . C��( Approved by a ION S E V A E PE t� lT NO. LO CAT G VILLAGE w I N S T A LLEAS hAME b ADDRESS a U I L 0 f 0 OR OW3ER j DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� ,. � SL �,. �� �� \��' �� .... 1 Finc....$....5..D.Q........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ............Town ......OF...........Barnstable Appliratiou for Bispviial Workii .emit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 48 Seabrook Rd., Hyannis, MA 02601 ..... - .............. ••---------- •.................... -------------- ------- -..-.---..-.-..-...-...-..------...-..--------- .----------------- - John A. SheafferLo`ation-Address 4�8 Seabrook R.d, ffyLa'is, MA 02601 -•--------•------••---................••------------•----•-•-••-------...---•--•--•--------•---•- .................................................................................................. W A & B Cesspool Service 128 Bishops Terrace;dr'ffyannis, MA 02601 Installer Address Type of Building Size Lot______________--------------Sq. feet Dwelling—No. of Bedrooms...............3.._..._..___.__..._._______Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.......�E...........__.__.. Showers ( ) — Cafeteria ( ) 04 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 ( ) aPercolation Test Results Performed by............... .......................................................... Date........................................ ,.a Test 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_.________--___._.-_____ a+ •--•-•--•---••--------------•-••----•••---•-••--•--•-••--•-•-••-••--...............----...-•-•--•.•.......................................................... 0 Description of Soil-----------------------5w�•-•...---•--•••-•-•--••••••••••••-•-•--•-•---••-•-••--------••--------•----•-•••-•---••----••--••--•••-•••--------••••......•-••••-- x - �., W ---••--------------------- ............................................................................................................................................................................. UNature of Repairs or Alterations—Answer when applicable.in tad atio •-of:•�_- _,OQO-_g��..-..pre-7ra.St....__. st one...packed.. �w�x�st one•)_.leach_pit__LgKiraPKI.-----------•------------------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Ti 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 thff board of health. Signed1�iG �&�1J' - � =--- -----8, 618 Application Approved B ���! - .............. ...- -8�D80 PP PP y---••-... Date Application Disapproved for the following reasons:................................................................................................................. ..........••-••--••••---•--•-•--•--•------•-•--•---••...•-------------•-•-••-•-----••--•---•----•••--•------•----•-••-•-----•---•---------------•---------•-----•-••-•-•-•----•.... -----•••---•-- Date Permit No. 80-. _.. Issued..... 80------------------------------•. Date i +'l ...Of) ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... TCK.n........OF..........Barnstable w ....................................................................... AplifirFatilan flan Uiipn,iia1 Works Tontrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 4.8 Seabrook Rd., Hyannis, ILIA 02601 ........................•--•-.....--•--•-•---•-•---...-•---.........---._......._...••---•-------- -----------------------....._...--------•-------------•-•-•--------------•-----.............---•-- John A. Sheaffer Location-Address 4.8 Seabrook R.d, Ajla fs, MA 02601 ......................-.......................................................................... ---------._.......--------....------------....--------•---.............-••-•-••------•---•---..... W A & B Cesspool ServiceeZ 128 Bishops Terrace;dr�yannis, MA 02601 .......................... ........ Installer Address UType of Building Size Lot............................Sq. feet. Dwelling—No. of Bedrooms..............3............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons......4................... Showers ( ) — Cafeteria ( ) p' Other fixtures ...................................................... WDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench'—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit N.o_____________________ Diameter...._............... Depth below inlet.................... 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..........._............ 44 Test Pit No.•2,;,,,,,;,,,,,,;.minutes per inch Depth of Test Pit.................... Depth to ground water---_-____-_.-_._______- P4 --------•------------------------------------------•-----------------•---•----------........------....-•----------•-------•-----------•-..............----•- ODescription of Soil-----.................u�----•---•------•---•---••------------------•--------------------------- ------------------------------------------------------------- x ti V W U Nature of Repairs or Al erations—Answer when appli�able. nstallation of_a--1;00_-__F'al.__PZe-Cast._._.. stone packed �wlx st©ne) leach Pit (over$low).-------------------------------------------------- Agreement: 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ii`:L_ y g g p y 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 beard of health. ..� f, Signed. �� �.. °; ,./ !!� �t_�; /.. 8� 6�80 --• ............ / % . D t Application Approved By f,... +G'r r? .....-•------------- 8ll SD -------------- Date Application Disapproved for the following reasons:................................................................................................................ -----••-----......•••---.....•-•-••----------•••------••-•--...:,.---•--•------••------•------•--•---......------------------•-------•----------------•-•----•---•-•--•-----------•.•--------------------- „4 r Date Permit No......80:.......................•-------------------- Issued_----8-4 6/80 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD%OF HEALTH ........................T own......O F............. ta.bl® ................................................... Trrtifiratr of ToutpliFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed_i .;;)`,or Repaired (X ) by.A 8c B Cess al Sezvice, 128 Bishops Terrace. YA-•__02C 1•.----- 775.-6264:_-__.••__ Installer at 48 Seabrook Rd.� l yannis, 1 A_ 02601 __ John Sheaffer________ ..--•-- -----••. -------- --•---•-- has been installed in accordance with the provisions of TITLE j of The State Sanitary Co e a described in the application for Disposal Work�Construction Permit No.gO'.____�/7/7_______________ da.ted__.._��.6�80----_------______-___--_- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT TIME SYSTEM WILL FUN TIO .SATISFACTORY. DATE......... ...... ........ Inspector_... 1/� �a ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80 �x Town.........OF... Barr t �?1e................................................ No. FEE..........-_..5.00 ..... �i���a.�tt1 �rk� ��n��rnr�uan �ertni� Permission is hereby granted....A & B Cesspool Sextirice, 128 Bis ohs Terrace, Hyannis, MA 02601 to Construct ( ) or Repair (X) an Individual Sewage Disposal System at No......48_.S-eabrook Rd.. Hyannis. 14A 02601.. '.-..._...__John_•A.-_5cheaffer Street as shown on the application for Disposal Works Construction Pe •}Y No.8 ______________: ated.._....._..__...._. ...6�80.____. �✓ :. •.:-•- Board of Health DATE...-�.' �- -•-----•---------------•--•-----------......... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS