HomeMy WebLinkAbout0037 SILVER LANE - Health 3l S�Ivcr Cn , I ns
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LOCATION a SEWAGE PERMIT NO.
VILLAGE
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED g
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No.•-•••84 4- '7P
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THE COMMON 1EALTH OF MASSACHUSETTS
BOARD OF HEALTH
...................... on.
T.ow.n..... Barnstable
------------------------------------------------•-....................
Allp tration for UiipnuFal Works Tomitrur#ion jlnutit
Application is hereby made for a Permit to Construct ( ) or Repair ( Y) an Individual Sewage Disposal
System at:
•• •. Silver Lane=.H�rannis j MA 02601
- -------------•-••. -••--------------.............--•---•---------•--••------•-------•-----.....-----....-----•.--•-•-
Location-Address or Lot No.
-David Pine _ 37 Silver Lane, Hyannis, MA 02601
--•--------------------------------••-----•-•---........-----•---••---........-•---............•--
Owner Addr
W A & B Cesspool Service 128 Bishops Terrace, Wyanni s, MA 02601
,-7 --.......- . .. ...............•----•-••......-----•---
Installer Address
UType of Building Size Lot------------------_--------Sq. feet
Dwelling—No. of Bedrooms................................-----------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures -----------------------------------------------------------------------------------------------------
W Design 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...............0....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-----.-------.-_-------.
fX Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a .--•---•••••-----------•--••----•-••-•-•-•-••••......--•-•.................••---................--•-.........................................................
O Description of Soil.. ��] .:..............................•--•-•-----•--••---------••----•---•--------------•----------------•--------------.......------...........--•---.
x -
U ............•-----••---••••-••-•-•-••-----•--•-•---•---••••••....--•-•---•--•--••-•-•--•......••••---•-•---••--•--•••••--•-----••-•••---•-•••.........••--•--•-•••-••-••-----•--•------•---••----•-•--.
W
x •-----------------------------------------------------------•----------------------------
U Nature of Repair or Alterations—Answer when applicable.installation cf a 1,000 gal . septic tank,
------------------- • --- -- -- ------ -----
D-Box__and_a____• •00 1. leach �i , stone packed. Abandoning_-the present septic sys.Eem.
......................................................
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 Complianc as been issued by the hoard
i ned1`G��-D���� .--(/:_../...�.....--- t�� 7Q7p8�4- : -- - --
Application Approved By--••- -•-----•---• �0 /814
Date
Application Disapproved f t f ollowing reasons---------------••-------......------------------------------•------------------------•--------•--•----.........
-• -•---•-•---•-----•-•---•---••.....----••-•----....._..-
------------------------------
/ / Date
PermitNo......84=-------------------------------------------- Issued------- ------------------ ----------
Date
w
No.....84- ......" FIzs.....�`..
.,. ..1rj..OD
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............. Town---.........OF..........Barnstable
....................................................
Appliration for Disposal Works Tonstrnrtiun Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
....37 Silver Lane,.. .....................2601
' -• ..... --....
David F e Location-Address or Lot No.
yn 37 Silver Lane, Hyannir , 1.1A 02601
---•---•--•----•--. - •-- -----------------------•------------------------------ -•--•--•---------.....-----..........-•------•---••--•----•------•----...-.....- -.......__
a ps
A• &- B Cesspool Sege 128 F is ho s Terrace,drHyanni s i4A 02601
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...................3
......................... A�is ( ) Garbage Grinder ( )
Other—Type of Building No. of persons............................ Showers
� YP g ------------------•--------- P ( ) — 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 ( )
aPercolation Test Results Performed by...........................................................•------------- Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.--_--._.--.---_..-__--.
fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
---•----•--•---------------------------------------------------------•--•--------------------....---.........................................................
Description of Soil......Sand
--------------------------------------
V .................•------••-•-----........-•-----------------•--••-•-.........------...
W
Z.
----------------------------- -----------------------•---•-------------...-------•-•••---------------------------.......--------•------------------------••----.....----------------••......--------v Nature of Re pa' s or Alterations—Answer when applicable.in stall ation of a 1,000 gal. . septic tank,
D-Box and a ,40 l.__-leach-pit,___stone hacked. Abandoning the present septic sysfem.
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 oard f'ra
r
/ - /
igned 7- ��r = ---••-.......d.................ies ................................
-.. Application Approved v--•- =------ ---- - 7/0
Date
Application Disapproved f t following reasons:............................................................................................Date..............
.......•------------------------- -- ----•-----------------......-------•---•--•---.......--
Date
Permit No.----8 "--------------------------------------------- Issued......7I97f
Date
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARDS -OF HEALTH
Town Barns table
d .....................................OF............................................................................
Tntifiratr of Tompliatta ��,
T II&S IBS �O CspERT1IF Tat the W V pSew DiTo'al Systeip 'ohstruc e ) or Repaired )
es oo ry ce 1 ' s o s rra e 3 nss ETA ��6 1
by....------------------•---•-------------------------------------------------------------------------------------------- -------•-----------------------------------•-------------------------------
37 Silver Lane, Hyannis, MA 02601 In%.slid Pyre
at--•---•-----------------•--------------•-----•--•--------------••-•----••--------------------------•----------------------------•------•----------
has been installed in accordance with the provisions of TgLF r of he State Sanitary Code,��,{�g��bed in the
application for Disposal Works Construction Permit No............
+............. dated................................................ +
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ph-� 3� ...........................................sOF.....................�'Arnstabl® .-----------...-----------......... " 15.00
N0.....................Z FEE......--------•--•-----.
Disposal Works T41ntr Ilan Prrmit
Permission is hereby granted.. A & B Cesspool Service ---------------------------
----
to Con 'a jve� an n ieji, Ii� ivir� OS wa eTaiWa)r,-S�stem
atNo...................................-...........................................................................................................................................................
Street 8 ,— 7/07/84
as shown on the appXtion.,o., Disposal Works Construction Permit No.�. .... v'_ Dated..........................................
..................•-•---•--... ._..C. _:..---------------------...•-•=--..
L.
DATE......7... _..__._ Board of Health
FORM 1255 A. M. SULKIN. INC.. BOSTON {