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Home My WebLink About0107 SEVENTH AVENUE (HYANNIS) - Health 107 Seventh ' Avenue 1 245-056 Hyannis b: .t r 1 i � a f i i I f i Y r i LOCATION SEWAGE PERMIT NO_ Pup- VILLAGE INSTALLER'S NAME 6 ADDRESS 6UIL0ER OR 9AhNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �I c Cl CA ?1 G a y THE COMMONWEALT 1 P 0F MASSACHUSETTS BOARD OF HEALTH .... ......... Y.. .........OF... ...B 6 . ................................... Appliration for U44paiial Workii Tomitrurtion ramit Application is hereby r d f a Permit to Construct or Repair (b,,) an Individual Sewage Disposal ,pa e or t4 4 # P-7 .SySteM at: t,e -?, ...... .............................................. 5.72......5en A. ........... ........................... .... Location-6ddress No,.,.\A ............. P 9IST-1............................................... Owner _rAddr2s" .................. TZr............. ......... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..................... .............Expansion Attic Garbage Grinder Other—Type of Building ............................. No. of persons....... ........... Showers Cafeteria ILIOther fixtures ..................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid*capacity............gallons Length................ Width._........_._... Diameter_______-.__---_- Depth...._........... 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.... ................................... 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.___..__._..........____ P4 ............................................................................................................................................................. 0 Description of Soil------.... .............................................................................................................................................. U ..............._..........._......................................................................................................................................................................... W ..........�;.... - ------------------------*--------------------------------------------------------------------------------------------------------------------------- -------;-------7 j,. Y U Nature of Repairs or Alterations—Answer when applicable.... ee ............................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of THTTIE 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 boar of I.th,_.tr_ .)... ........ Signed.z-,,� ... .. ... ..... .. .......7.... .... Dat .8.d. Application Approved By.......... 5�_ Date Application Disapproved for the following reasons:................................................................................................................ .....................................................................................................................................................................................------------------- Date PermitNo....ed............................................. Issued............ ................... Date No..�'.'.?.L. 7-0 FEs...?��.`z.......�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH tL....OF........I �,..,xt__=` =L�- .................................... Appliration for Uhipwital Worka Tonstrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: .:. •.--=�=-=. ... .�3.n_: ... . . ..............•---------•--- ---- --• •------------•---•-- ...-•--••-•---- .' Location-Address l , pr Lot No. ............... ..... •-------------------------•----•-••----• t!....!.... ..f-rv_ .. Owner ddre s `i S h r` S !C Y. Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..................... ....___ .Expansion Attic ( ) Garbage Grinder ( ) �-+ 114 Other—Type of Building ............................ No. of persons.......jF;�............... Showers ( ) — Cafeteria ( ) Q' Other fixtures -----•-------------------------•-•-•---......._ W Design Flow......................................::....gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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--___-_____-_-___._-___. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' •-----••••---•------•-••-•••---•-...••-••------•------------------•.._...............•----•-•••...........•-•-•••---...•-••=........•••------•--------------- O Description of Soil.........f'2:e4 j� b............: --------------------------------------- U -•-------•--•--------------•--•----•--•--...----.......------------•-•---------•-••------•-----•-------...-•--•-----------•----....----....---....--------------------........----••----•-••••--------. W ----•• •------------------------•------•---•---------•-•-••-•------•--•-------------•--------•-•-•--...------•--•--••------------•••-••----••----------•----:......- UNature of Repairs or Alterations—Answer when applicable___cL_.-__�-�___-__ _r_ c?_=_ _�_:.._.:_at= h.� ..-An.... C ��- r'f I..._.. '1 J 7 C'. .�` � _E t_3_.1-' ' ••... --•.....-•----......--•--•................... t Agreement: \l The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT s E 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 boa d of_.. alth. / Signed./_: = r._......�; . ................................... Date_.... r' ---•------------------Application Approved By. lr-- -�� Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................------------------•----•--------••------•----------------.....-•-------------•--......--•---••- Date PermitNo....CFI----•-------•----•-----•--------------------- Issued.......... I:s� .................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. a.tv!u...OF.......h . . .►?`?.!.: P).kt....................................... %rrtifiratr of Tout rliFanrr THIS IS Tpp+ CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (K) ti -------------------•-------•----..•.._----------.... --......----------------•---......----...--- ''"� Installer J1 �. i1f? IlY�1 p /� f, It� � ,---_- -1------- � 1 �-3-�----------•------------------- z �....__._�? ? �_..... --•------------ has been installed in accordance with the provisions of TITL� 5 of The State Sanitary Code as—des c ibed in the application for Disposal Works Construction Permit No.___ s ."_�°� ........... da.ted----- � .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... ................................................ Inspector---------•--•-- ------------------------•-•-••--------------•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................ri z u'. .....OF ...► ................................. No . .... FEE ,:f............. Dispo al Works Tnntr r�tUan rrntit - Permission is hereby granted- i... !!J........ •: +)- -'Q.....................................•--......_...------- to Construct_( ),,or Repair (K)•.an Indivi ual Sewage Disposal Systgm atNo. �. -� -�! 1 -------------•--•--------------••-- O ......._......... Street as shown on the application for Disposal Works Construction Permit No. __'.......... Dated........ .`?..:...:::......... Board of Health ;,.,, DATE...... _".T- E� ------------------------------••--•••-•---•------•--- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No- 2=27..Z THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH pw... ...........OF.. Y : ` e Applutttiun for Disposal Works Tonstrnrtuan Frrmit Application is h by mJ-(0 -7 a for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 0 —� e�a-w Location-Address or Lot No. ....------ - •- ............... ............•----------- .. !.c!.K................................... er Address � w db,7 _ 1-� .v�.�-- a .....------. ..� ►�_._..-- .... ... .. - ................ Installer Address 2Type of Building Size Lot...........m................Sq. feet aDwelling—No. of Bedrooms... .......................:...........•Expansion Attic ( ) Garbage Grinder (. ) p, Other—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) aOther'fixtures ....................................:........••-------.•-••...---••-•..._......••--•-••-----••••----..........--••-•--••--••.......__................. d WW Design Flow........... :...................gallons per person per day. Total daily flow.......LA,%A_0......................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No .................... Width.................... Total Length.................... Total leaching area....................sq. ft: 3 Seepage Pit No.....I------------- Diameter... ..__._....._ Depth below inlet.......-........ Total leaching areaZ,T?._._..sq. ft. °Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,1.4a Test Pit No. J......:.........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........................ a ...............................................} -----=----------------••••..........--•-------------........-_.......------............••-------•------ ODescription of Soil.............C--- ........ 1.w: .............................................................................................................. w -----------------------------------•------------•--------•--------------.._.. .... UNature of Repairs or Alterations-Answer when applicable.......1�P_b........f2w2�- .lor. .:...Pr�T' ��1..... ....... 1� * wT...........:..:.......-.H_,0 :�-.......s� w ------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI1 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance sued by the board l Signed..-- ----- ........ -••-•••-• _.... ...... ... .....1 Date Application Approved By............. .. ...T -'i ..s-------------•--------•-----.. .......... ;Laz a -:2 Date Application Disapproved for the following reasons:...............................................................................:.........................._.... ........................•------......----•---•-••----......------••-•-•---••-----•---•-•-. ---•-----•----.........---..........---.....................-•--••---•-------------------....---------- Date Permit No.------R.a.=---7.7./..................... Issued............................................ �,--�_ ._.r"F'.`r^--�""'--.�+r.---•'-^...-.J--K----,...----_.._._._.__. .tom .._ --_.......v....�.v ..«-.�-�.,-...-...—�.,_......---...--...,....� -. _..... _ r..�- THE COMMONWEALTHOF MASSACHUSETTS BOARD OF HEALTH C)1.�✓ ............O F..` .------------ ....................... Appliration for Uiupouttl Works Tontrurtiun 1rrutit Application is hereby made for a Permit to Construct ( ) or Repair (L-)'an Individual Sewage Disposal System at: (a — -7 Location-Address ,^ or Lot No.' Owner• Address Installer � Address 2 Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms...�'. ...................... ........Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building .........................1_. No. of persons............................ Showers ( ) = Cafeteria (' ) dOther fixtures ...--•-----••--•-•--•..................................-----............_......---------...........••••••--------••••.........-•-.................---- WW 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.....0.............. Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No.....j............. Diameter.._:7._-L..... Depth below inlet.....i!........... Total leaching area_X.Y. .�q. ft. . Z Other Distribution box O 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........................ O Description of Soil............. r� -� . - ------....--• ..............•-.._........_ ................--------••............................_...---••--------•-•• W .............. --------------------------------------------- ......._........-.-------------•--•-•----------.--.....-..-------•----••----••----.-•---- --------------- x ------------.........................................................................................................................................................0................................ U Nature of Repairs or Alterations—Answer when applicable.......A. 0.........*..?....._e:.._...(z. ...... ...........................w� + --------------------- ----....._...--•----.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITILL 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., # - r Signed...........�`....................................` ' ---------- -- ( --_ %� �q ... te APPlication Appfoved BY--- Gc"^ '`_ - ...........................,. — :S------ G_ f Date Application Disapproved for the f ollozving reasons:....... ....... ..................:.............................................................»» ,t .......-•-•-----...-••--•-----•-•...............•-+---••---------............------------••-•-------.....-------•-----•---......--•-----...........---------..-.-.---...-----...----..................« Date PermitNo........ -7.7�---------------------•--- Issued...................................................... Date -------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.....�..A..t?..�.. ).. Ta ifiratr of Toutplittnrr THIS-IS-TO CERTIFY—That—the Individual Sewage Disposal System constructed ( ) or Repaired j Installer at_.------••--••---•---•-•-�.7- ._.........-; r-a� --- - has been installed in accordance with the provisions.of T F 5 {The State 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. l DATE.................«�.._�..........»�.�..-=•-�-)...................... Inspector.................................- .--------..._...------•--•---•-•--•--..... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 97771 No......................... FzE........................ Maposal-Irorks Tonotru'dion4jJ rmi# Permission is hereby granted..............j�- �..e •--.---•I-'--'=." ' .».. to Construct ( ) or Repair (L,)-an-°Individual Sewage Disposal System .-- c � t1 v <Z-� at No.:................... `� ~... �-t J , 0 r` /j' ------... .---•--...... Street as shown on the application for Disposal Works Construction Permit No. --- --_ Dated.......................................... ............................. ............................................................... �/� � J J' �� Board of Health DATE--------------------- ........................... -.•.•---•-- MI 'TO'9NIOF BARNSTABLE V LOCATION —,7 SEWAGE # VILLAGE �'A1va�1S bYx., ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. �. �VV .,� B�a ✓ ' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) P(Z. —6067 (size) -24cx� NO. OF BEDROOMS PRIVATE WELL O PUBLIC *AT BUILD R OWNER_ n_.�_ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No U � Er l• E rry _ C• I I - �nDGQSFn CAs E�`+G�r �i , ! , r __ _ fau 11 I I I I I rcc r. I /LE r r , I I , 1 i�tosfir n,ioSFn ,,I:� - I. I � I I. SUN RDGrl : cl , h I . _ •;. _ � � .. _..- `. � -. ., ChTNEOR�9'C.'GGiL%il/E+. _ I ! cl^ i _ IL ft--' - _ - - rvravvz . � I ;�: I �: I � 1 I... — --. - - -- - --_ _..__ i I 'I I. xflll _ .. ... 183 LONGVIEW DRIVE C.0 PALTS10S . C so .� SCALE:� /Gi � APPROVED CENTERVILLE NIA. 02632 BY. r DRAWN BY:e, DATE /! REVISED 771-1410 ING & �REMODI,"E�LING LICENSE #i 006653 DRAWING NUMBER B,U!L�D ✓�LJ ��/ NEW ENGLAND REPROGRAPH/CS 6 SUPPLY CO. I j l