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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 �a 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. 1 \ o 1 \