HomeMy WebLinkAbout0069 SIXTH AVENUE (HYANNIS) - Health Nci" nes
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.................Town---------------O F.................Barn-sty U!l .............................................
Appliration for Eliap.aaal Works Tanstrnrtion ramit
I ' Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
Ave.,,.West Hyannisport, MA _ 02672 fT GL�IV11 S
--------------------------------•-------------------............---•--
Location-Address or Lot No.
Daniel Meagher 69 Sixth Ave: West Hyannisport, MA _02672
.....................................................................••----•-----•----••----.-•-•- -------- ---
Owner Address
.....B-•Less},?ool..rS� !Q.Q............................................... 12$..Bishopa..Tarrac-e.,.--Hyannia.,...YA......Q2LQ.1.....
Installer Address
Type of Building Size Lot........:...................Sq, feet
aDwelling—No. of Bedrooms........3..................................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons.......... ................ Showers ( ) — Cafeteria ( )
a' 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 ( )
a 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........................
...................... .....•...--••-------•••••-••-••••-•---•-•----.....................•-•-•--•........-•-.......----......••----........------•----•....•.
ODescription of Soil....Sand----•----••---•------------------------------------•------------------------------------------------•-•---•------•-----------------•----••..........••----
x
W •••• . .. . . . .. ...............• •---•-•--------.......-•--•-------•-••••......--•--•......••••• •--....--•-••-•------•••----•-••-••••---••••---••...•---•------•--••••--•-••••-•--......
VNature of Repairs or Alterations—Answer when applicable. .�nstallati on of a 1,000 gallon septic tank,
distribution box and a 1p00 gallon, stone packed leach pit.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewa e Disposal System in accordance with
the provisions of T I HE 5 of the State Sa ' ry Code—The undersi f er agrees not to place the system in
operation until a Certificate of Complia e has s d lSC
e i , th. P
Sign ��� = 6�26�8
.. .................•--•----- = --------------._.........--
Application Approved BY 6�&784
...........................•--•-•-------------------•----- ...-•---•-----•--------- --•••-•...
Date
Application Disapproved for the following reasons---------------•----••------------------•--•----------•------------------------- ......................
....--•----------•-•........-•--•.................................•••-•-•-•--•••------.............•----•-------------•--•--•-••-••-•--•••-••---•••-•-•••........................... .......•.....
Date
26 84
Permit No..........�=--........................................ Issued_--------6-�---�----------------------------------
Date
�.«. 4
0.------'..-- --- FEs$...15.00........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town OF Barn stabl e
........................................................................................
ApplirFation for Disposal Works Tonstrnrtion thrmit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
69 Sixth Ave., West Hyannis ..................... ... --"-...----"-""----------•-""-"--•-----•---"""----•---.....------.....----........--•......
Location-Address
Daniel Meagher 69 Sixth Ave. , Wes$Iglyannisport, MA 02672
Owner Address
A._&--T�--Cesspool_Service-•"---••........................................ 12 ?_Bishops Terrace. _Hvannis . YA 02601
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 ( )
P a Other fixtures ......................................................
WDesign 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.__...____..___.....__..
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-._."---__-----".---___-
0
O Description of Soil""--Sanc.. - -
x ""-"---""""-"-----••--"-"-""-""-""--.....-"""""""...--""""""""•"-"-"---------"----""-""--"----"- - "...............................................
V ......................................................................•-•--...._.....•----••••---.......---------------•--•---.....----•---------_......._.......----------._...--•-__........._------.
W
v ---- -----------------------------------------------------------------------------------------------------�ristalZatiaii oi""a ;U00'" aTI"dn"septic""tank,
a ur of a ai s or Alt ratio —An r when a licabl ..._ .. ..............................
d s r but �'n rbox and a �`�00 ga on, stc�e packed 16aidh'pit
--------------""------------"-- "-""""--"-"-"-"-"-""-"---"-•-"-"---""---------"""--"....""-"-•-•""""""--"---""""-----------------"--------"---------""------------"---------------......_...---......._.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT11 5 of the State S ary Code— The undersi n�(ztr ier`agrees not o place the system in
operation until a Certificate of Compli ce has is d by e lth.
Sign --�..l��l.. ' 6/26/84
�. Application Approved By......................... ------------------------------------- _ ... .., .,... "Date ..
Application Disapproved for the following reasons---------------------------------------------------------------------------------------•----------...._.......
•----------------..............................................................
PermitNo.........--•--`........................................ Issued..----•---•/--"/ 4...---•--••-•_.._Date..............................
Date
qT�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_.•m __._ ,_...__
T:fin ........0F................Barnstable
.................. ....... .........................................................
a
QUntifiratr of f omplianrr
THIS IS TO CERTIFY Tha it
d:vidual Sewa e Dis osal S stem cons r e ( ) o Repaired (x )
A 8e B Cesspool Service, hops Terr�.ce, -iyanni�;, MA � '�at
by----.----•--•-•-" - .._..------- " -
at.__._69._Sixth Ave ," West Hyannisport, MA I '72 p Daniel Meagher
----------------"----------------•------------------------ ....
has been installed in accordance with the provisions of TIE 5 of The State Sanitary Co�e� �described in the
application for Disposal Works Construction Permit 'o_________________________________________ dated_--..___-_-----_-----....._.____......__________.
THE ISSU C OF THIS CERTIFICATE SHALL NOT BE CONSTRUE A GUARANTEE THAT THE
SYSTEM V'I Fy CTION SATISFACTORY.
DATE...--� % �J_ ....................................................... Inspector. ... """""....."-•-------"......""
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
84-r'� .............T own..................0 F.. Barn stabl a 15.00
........................................................
No. J..... FEE........................
Disposal Works %Tnniltrnrtilan Vprrmit
A & B Cesspool Service
Permission is hereby granted -- -- ......•----- --"-""-...-"-.
to Construct ( l or=.Rea t Inddiv'dua S Dd* � Sy
at No...69_ SxAver, 3 ivis ort, iel Meagher
----".................•-••--------. ••-••----•.....--•-•-...._..------------------------.....----------._...----•---------------------------......--••--....
Street a, 6/26/£
as shown on the ap •catioi�r Disposal Works Construction Permit �,'o.�U._W�,,-!�:___. Dated_______________________________ '
.....................
........................................................
DATE... 0- : �--""
Board of Health
r _
FORM 1245 A. M. SULKIN, INC., BOSTON 1
I
LOCATION °'SEWAGE PERMIT N0.
v )4-cl eln
VIOL GE
6
INSTALLER'S l NAME i ADDRESS
r-L1sJ}
IUILDEIt ' OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED -� �
4
F
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V
LOCATION P ��d" SEWAGE PERMIT NO.
VILLAGE _
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE, HYANNIS, MA, 02601
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED _
i
n
1JJ 8 a.
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