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HomeMy WebLinkAbout0114 SEAGATE LANE - Health M 114 Seagate Line Hyannis r A=249 - 033 a 9 la a LOCATION _ SEWAGE PERMIT NO QpIL 4p , VILLAG`lE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER ' DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� "n oC � S l/ i� W ��_' �_ A t �F! .. �� 1 L{ � No........85 ........� Fxs...................15.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 69 CIF-p -3 ........Town...----..OF..............Barnstable.----------------------......-----...---.....---- Appliration for Dispaii al Works Tons rnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 114 Seagate Lama..Hyannis,, •-02601 .............. ........................................ Location-Address Lot No. PhiLiT_Arslaniani................. - 1i..... L a,r_HYa]13�15_s...�?A....0260� • ...... Owner Address a A & B Cesspool Service. Inc. 128 Bisho .......................srce,.• ynist..MA-...•0260� Ha ,_-- Installer Address d Type of Building Size Lot......... ................Sq. feet Dwelling—No. of Bedrooms.................3........................... Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons..............2........... Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------•-------------------------------------------------------------------------------...----••--•......--- 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water________-____--_---___-. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P --------------------------------------- .................................................................................................................... 0 Description of Soil------.--- Sand-----•-••-•------------------------------------------------------ --------------------------------------------------------------------------------- U W U Nature of Repairs or Alt ations— nswer when applicable.---__installation of a--1,000 gallonA__gre..cast, stone packed leach �overflow� . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL 1-L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate Compliance has been issued by the b ?rdoh th. 5------------- Application Approved By-------- -- ............................. ----------5/ Date Application Disapproved for t e ollowing reasons--------------------------------•----------------------------•------------------------------.....---------••----- .....................................................-- -----....---•-......---------•-•...----------------•-•---..._.......------------------•-----------------------•----------------------•••------ _S/ Date Permit No....-•.-•-85 ------�.�e-................ -.... Issued..................... / .../85 ......................... Date No........8 '_....... Fins............. ....t 540 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T.own..........OF..............?&rns•"hle................................................. Applira#ion for Disposal Works Toustrnr#inn rumit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: .....040.1------------- --•-•-•-----------•------------------------ --------------------•............. Location-Address or Lot No. Phi o.-Am ._a!=o............................................................ .... ...Lme-,-•-1�yLa Owner Address W A Pc .. 0e�s�o? .. � t���'► Inc 12�_.i sho �'� S �.... TT •--•--...--•-- Installer �-- Address��k�S,...�-----© •©�:--• i ,` Type of Building Size Lot............................Sq.(f) \,\� U Dwelling No. of Bedrooms..............3 persons Expansion Attic Showers Cafeteria \` a g— ••----•---------- p ( ) Garbage Grinder p, Other—Type of Building ............................ No. of ersons.....__.._.... ( ) — ( ) d Other fixtures -----------------------------------------....................................... \\ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity.._.........gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench— o..................... Width.................... Total Length.................... Total.leaching area........ ..----------sq. ft. x Seepage Pit No--------------------- Diameter................_--- Depth below inlet.................... Total leaching area.........._.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Test Pit No. I................minutes per inch Depth of Test Pit.................... '"._ Date_._-._._-__ter.....__.._.___......._.. a Percolation Test Results Performed b ................. . .. .__ Depth to ground water........::.............. f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....__._`__.____...._... a ------------------------------------------------------------------------------------------------•-•-......................................................... oDescription of Soil...........`end___........................................................................................ x UW •-••-•--•--•-------------------------------••---•--••-•-••---------•--------•---•-----•............----•-•-•--•••-- ••---•--•••--•_•---- Nature of Repairs or Alterations—Answer when applicable._.._. _&._1.,OflD_-fi.,:allon.,...;r_eLncast, stone packed leach (overflow) . -------•-----•----- ----------------------------------------------------------------------- ...................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 ' y r!'� J jfGff ,� 5--•--•-----•-- G`f li7 c J ate Application Approved By.................................................................................................. ......... 51 85 3l Date Application Disapproved for the following reasons:............••••••-••-•••-••-----•••----------------•-...-----•---•----------•------•----...--•-----........... ---••-.....•--••-•--...•--- --•-------------------------•-----•---------•----------... 3 Date s r/ / '�. ----••......--- Issued•---------------- 50 �5 Permit No......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................To`^'n.........OF...............cars+ab.le,,......................................... �ertifirate of TomptiFanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by.........A.......`...Ces s�cgl.Sexyice� Inc, -.j;aQ R h P-3- i==.e.,...Hyann1 s,...M-A.....026al...•-------•---.... Installer at 114 Sep.,at Lana, Hyannis, 0P .......................................... .- 1� • U1an has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No .�5-.__..S_a.-(.............. da.ted51._. . .F�5-__________.__--•-••_-_-__-_. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRIBE® AS A dARANTEE THAT THE SYSTEM WILL N TION SATISFACTORY. DATE. ......... ............... Inspector...•... THE, COMMONWEALTH OF MASSA USETTS BOARD OF HEALTH g ............................�'Kn.....OF.........:E-arim---ta.ble................................................. FEE....... ..ISM Disposal Works 10.1,11nstr ion rrmi# Permission is hereby granted---------------- .......................................................... --_to.Construct ( ) or•,Repair (X ) an Individual Sewage Disposal System atNo.114..SEAg__..........................................................e ` o -. .k �� . ••-••._...... Street as shown on the application for Disposal Works Construction Permit No 8,5-.--.___. ..... Dated __5A 05--_--.•-. -------- ---------•-------•------------------------ --- --....................................... DATE. ..._ oa of H alt FORM 1285 A. M. SU LKIN, INC., BOSTON Feb 21 07 03: 40p Mary Loi Laurenza 413-545-0220 —�� to > •� (J�4 ! 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