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Home My WebLink About0016 SECOND AVENUE (HYANNIS) - Health /lo cSeu�'1(�' l� •� niJ' l� ou �� 1 L CAT1014 qq SEWAGE PERMIT (30. - z — �eeo j t7 Inl c ILLAGE // Cc) /. &&=w n`�6 rJer'1 e'C I N S T A LLEWS NAME ADDRESS Rf GUILDER OR OW13ER DATE PERMIT ISSUED DATSE COMPLIANCE ISSUED �S/8 l 0 Opp, t � �t ASSESSOR'S MAP NO. PARCEL LOC AT ION SEWAGE PERMIT NO. lwe W I L L A G E INSTA LLER'S NAME & ADDRESS ® U I L D E R OR OWNER DATE PERMIT ISSUED ca DATE COMPLIANCE ISSUED w� � � c c P ' r per.�•y/� `F•- F@s............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH low .....OtgIL).�r.A-t l� ....:.......................... ........................ ................0F. Appliration for Uispmial Works C omlrurftott p[amit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ��r"•- r� I:fl. l A d s/s�A/ ..................................... •---------------------- ------•......or Lot o........................................... a -Addr s s Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' 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 ( ) 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........................ Ra ...................-............. ODescription of Soil.------.��Vl�. .: �.....--•---------•----------------•• ....---•--------•••--•------............................................................ W ---•--•-------•••---•-----•-----•------•-----------------•--•---•---••-•----------------.........•--•-•--•-------------•--•----•-•----••-•••-------•-•-•-•----------•••---•-•------•----•------••....-. 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 iITU 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 .. .t�---------•- �"--- Date Application Approved By............ ..."^'... ---- "".- -------------------------------- --•---. � Date Application Disapproved for the following reasons:................................................................................................................ --------------•--......------•---•-•-------------•-•------------•-------•-•------•---------•---------------------------••----------------------------------------------------------------------•-•------ Date PermitNo......... K-/.................. Issued....................................................... Date Fns..................1 THE COMMONWEALTH OF MASSACHUSETTS ---� BOARD OF HEALTH iUly X) OF.----------- * -- . -- ---------------------------------- F .....f. 1�1.. )5.....1..4.h/�..------•-----.......... App iratinn fear Disposal Works Tonstrur#inn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ()() an Individual Sewage Disposal System at: :...-.' �....-..`'� -v!n---- .. .I CNN ... ------ ------------------------------------•--......--- cation.Aid ess or Lot No. �I�------------------ ......---------------- ------ ------ ..--.----------------------------------------- C7�il✓ OC�.iLJ/�J s / , ��1 /f ✓7 I`` Add/4� ..-•---•---•...............•--------•------......--•---.......--.............----...... a!n5 .................................--•--•••..........................J-�:.. .............. Installer v Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building .............. No. of ersons_........................... Showers P-I yP g --------•----• P ( ) — Cafeteria ( ) a' Other fixtures --•--------------_----------- - W Design Flow............................................gallons per person per day. Total daily flow----------------,_.,.,........................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter_______----------------- Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--_-_------------- Diameter.......: i.._._....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,-� 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........................ --------------- -�.''......... ..................................................................................................... ODescription of Soil------. --------------------------------------------------•--------------•----••.....-----•-----........-•---- x c, W ---------------------------------------------------------------------------•---•-•-•-•-•-••------•------•---•--------- ... .. VNature of Repairs or Alterations—Answer when applicable._... e!!.��Y.._____� ' ....�j. ...................... ----------------------- =---------------------------•---•----•-------------------------------------•---•--------•••--•••-•-••-•--------•-----•-••-•-••-••--••----•-•--•••......-•--•...........--•••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL%, 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. Date Application Approved By `�'` 1 -'"`' .7....... 1 s ---S---6 >) dd Date Application Disapproved for the following reasons:..s y...............................•-------••--•--••••-•-.......-----------._.._..___.__.___........_............ --.............................................................................................................................. -------•--...-••--•--------------------•------•-----------••••-•....._. Date PermitNo.........a = !/-•••-......••----. Issued--------------•----•----•----•--- -----------------------•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....!"..................................OF......64.. N` //,�-..'.................................... Tyrrtifiratr of Tnntplianrr THIS TO CERTIFY, That the Individual SewAge Disposal System c�tru-ted ( ) or Repaired by---••••.:�:-..l'�_✓---_s......73 Gr CJ / Installer ,41' /V' CY at ./ has been installed in accordance with the provisions of TI`i I F 5 of TState Sanitary Code as described in the application for Disposal Works Construction Permit No...... ':___ _____----- 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 ............... . C. f................... OF....._ liavf A I......----•-................... i"� / No. ---�;11 ••. FEE.. -•- Disposal Works TOnstrudion Prrutit Permission is hereby granted.............e .......1.74:a.TT-•- .Ltd.4?4 ...._..__..�/112,61.... / ;L to Construct ( ) or Repair (),,-) an Individual Sewage Dispo al Syjs�tem / at No.---------� aia..........--�E'G'�� / ��/�..a... '-�V-- -��,!��!j1�7`..... �-------•................ Street c� as shown on the application for Disposal Works Construction Permit oIi_,_..�1....__ Dated.......................................... ~fit "^ '------- -- ------ - Board of Ilealth DATE................................... ... -•--•-------•-------- •••-•-- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS moo- N ._ .® .�..�J..� Fss.30.... ........ � - THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH v ............. ...............------......OF......................................... ApplirFa#ion for Disposal Works Tonstrurtion Vantit Application is hereby made for,a�Permit to Construct K or Re pa* . ( /Individual Sewage Disposal System at* ....................................................... llOO ,1,,' °r ......5..�.----...... .-•�-•-•--•---.......................` .................................................... •-Location s n� � ��Q�y� or ! No. .............../�_.._._._.. �? ......_. _._............ ..........� .........................................................l �:u�9.��1....!'y+'KS Ow r Addres a R! T .t!! �A'E.4Y cue S7'GzAJ--,�9!/ - '� �`'i G/�! pq Installer Address UType of Building 3 Size Lot............................Sq. feet 4 Dwelling—No. of Bedrooms............................................Expansion Attic 0 Garbage Grinder (IV/,I aa Other—T e of Buildin yp g ____________________________ No. of persons............._............__ Showers ( )�Cafeteria ( ) � Other fixtures .......••----•• --•-•--•--•--------------•--•-•----••----•--•-•---•-•--. ll_>>........ Design Flow.......... .� ..._..gallons per person per day. Total daily flow_._....T-!�r ..._._W •-•--- --•-----•--•--gallons. WSeptic Tank—Liquid*capacitybQ�.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—'No. ........ ._ Width.................... Total Length.....................Total leaching area_._..__.______....__sq. ft. Seepage Pit No------_------------- Diameter.....9.......... Depth below inlet_._,............ Total leaching area..ov_..sq. ft. Z Other Distribution box (K) Dosing tank ( ) 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..................... x ----------------------=---------------------- - u �� ./----_ = ,-------•-------------•-••---------_----- O Description of Soil..� .2-4--•....Sue ,So/L rz¢... "'.' 9 9�J -j � x k�`rs�i Coy�: Sgo/U /'�'J p/Ufa N ._ - --•------•------- _.. Dy¢ _ ` E ----•-•---------•------------------------------------------------•---------•------------•--------•------__-__-------- 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 TIT " 5 of the State S ' ode— The undersigned further agrees not to place the system in operation until a Cer ' -cat of Complian s been is a9-,bPkhe board of health a.... ••. ........... .... .•-- .... .....-••---•-----•--•• ��$!�.......-- D/ate Applicatio Appr ed By..............-- . ... � '---_ ... ...._•-----•. ------ Applicati n Dis proved for th 'following reasons:................................................................................................................ -•-•---•-....•-----...•••-••--•--•---••••-•-----...•----••-----•---•----...••-•--•...............•••-•----------•--•-••••-------•••--------------•--•----•---.....-•--•--•----•--------••-----•...•----- Date PermitNo.......................................................-- Issue4i...................................................... Date w• No.........o6o..G S 7 FnE............ THE COMMONWEALTH OF MASSACHUSETTS Jo /i BOARD OF HEALTH ................................._.......OF...................................... -----------.......--------....................... ApplirFation for Dispustal Works Cfnnstrurtiun Frrutit Application is hereby made for a Permit to Construct O, or Repair ( ) an Individual Sewage Disposal System at: .............•--.... ......------------------ .........._. / Jar {�ri G � h* or t No. A, (, .. ..... -----------------••-•--•---- ......................................... _ ._...��...... ---r. + s ._.... Installer Address Type of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms............................................Expansion Attic ( Garbage Grinder (IW Other—Type of Buildin No. of persons............................ Showers ( ) — Cafeteria ( ) •------- -----------------•----------•-----------•-------•-••-------------------•-•.....-----•------------..........----------.----- Other fixtur W Design Flow.........'�_e-7....................gallons per person per day. Total daily flow................ gallons. W ' Septic Tank—Liquid capacity.Ap allons L=zth................ Width................ Diameter_ Depth x Disposal Trench—No. .................... Width............ __-_ Total Length...................dotal leaching area............_......._�.�EQ. ft. Seepage Pit No---------------_--- Diameter.................... Depth below inlet.................... Total leaching area............._..'.q� Z Other Distribution box Dosing tank ( ) aPercolation Test Results Performed by......................................................................_.... Date.......................................... ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water................._...... �Y4 Test Pit No.:2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •A O Descri ' n of. oil _""-_z il..._5 ------------- � J ', JSo� ....._--•-•--- w ------------------ 5" .-..--•- --- 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 T I T 1 5 of the State S riit r de—The undersigned further agrees not to place the system in , operation until a Cert• sate of Compliance h be ' s e board of health. ! f d............ Applicatio Appro ed By--- . -- Applicatio Disa proved for the following`reasons: ............................................................................................................ V_ f ......................................:................................................................................................................................................................... f Date Permit No..............................-- Issued_........................ Date THE COMMONWEALTH OF MASSACHUSETTS w BOARD OF HEALTH tJG.�ot .........OF.......��'�.p211iy J".., -p-e e............................... -< Trrtifirate n$ Tnrntplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (/or Repaired ( ) byr a. -..... ,/ :............................................. a ......._.. --. Installer ...; �.: as been installed in accordance with the provisions of TITLE 5 of e tate Sanitary Code as described in the plication for Disposal Works Construction Permit No----- . , dated................................................ aia— THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTTORY. DATE..........................:................� � g f Inspector •� ,..: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ... . . ... ..--rr-`�................................_........... r G , d. ..............OF......... e•+�: i. . o FEE Disposal Vorks Tsnstrnrtion rrntit Permission is hereby granted 7 !'...._..£�-•-------•----------------------------••-------------......-------.------..-.----.-------- to Construct or Repair ( ) an Individual Sewage Disposal System at No... --------;/-,8----- �, ..... ,�;:--- Str Permit gNo..-••----• Dated.......................................... Da ass own on the application or Disposal Works Construe / ii; it DATE............ — z ............................ oaad FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Sb.U4 ± a i i i '0 WATER It uv U U' DES CPN o ,Q s i0 /8 loot :'��ylgyd"p p t ai4— U Q {r, 63r BOXvi 4: Section A-A �►i% �24' ° A~ Horiz./Vert Scale —Cie PA Ns I ON t 1 i I `{• I - I 1 LA:J uF L"iND IN PYAi,',N1 i UiLi, I11.:ass. for UD BUILL) INIC . Rein lot 1 asshown on a plan by i;ldrec e FnYr. C:� : Inc--and-�`recore+-ed -i.r-Barnstable: `e istr of Deeds Boo'.. 329 page 66 to . 11-17-80 Scale 1'' lovt,y.i :ns shown are in feet shown an a :.sumed datum. -------------- ------------------------ ------------ - t�- 4.�ent . Barnsyab1e Board. of Health Test Holes l 2 rr Soil 4' t G i s= n,,i Thamas NA. i f ( 1A KSO i 1 } Cr �G[3TER� .r � UrtiAL t Me: tt �d i 4 t1 44 . Th" r �r�✓ no ., -tcr e:iCJtl'i'.c;red � Vrr.�. ... ` r„ 12 4- e-zl I:urrr „ I erc . t-c: t less th•nn ? min. ner Inch. i y ; I }