The URL can be used to link to this page

Home My WebLink About0033 SNOW CREEK DRIVE - Health 33 it atiu 6-ol LOCATION SEWAGE PERMIT NO. V.'I L L A G E h'V A-K) S VNSTA LLER'S NAME i ADDRESS ` d U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 11 i � 1 `� � O � C� <: i �� J No �.:.�1.3ZFus: ..00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... ...Town.........OF.-.......Barnstable . ................................................... ��z� Avvliratilan for Mqvas al Workg Tongtrnr#iun ami# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Creek Dr. H,y�.nnis� Ma...................... # 33 Location-Address or Lot No. .Mr.....Pat�dick_ L__a_Porte -•-•----•----•-------•--... . . 3..Sn4�4Y..Cre� ..Dr...._._..Hyannis,,-Via'............... -.......... Owner Address W A s ..$._.GLC H4ig__StR ... �e...Yarouth=_.Ma.•................... ,-� _.... Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._-__._.____.. .............................Expansion Attic ( , ) Garbage Grinder 00) PL4 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.....----------- Dept h................ 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........................ (z, Test Pit No. 2...•............minutes per inch Depth of Test Pit____________________ Depth to ground water........................ ---•------------------------------------------------------------------------•--............_.....---......................................................... 0 Description of Soil........................................................................................................................................................................ U ---.....•-•--•-•-••-••------••------••-•------------•---•••---••-----------------•---------•--..•._...........-.._...-..•--•------•-----•----•••---••••........._....--•---•---•••••-••-..•.----....--•- -. _......_.•_... ----- ---------- - -- ----- -- UNature of Repairs or Alterations—Answer when applicable.-.,3--F- oyacl • -4tserS packed with washed Ame ais-ding-- srbution-•Box--• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of iI'I U 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. gned_ . / ------------------------ Application /2 vv ......�? ...._.. ?. _.... Date ApprovedBY = ... . . --•----------•---------•-••-----••• --•••..... ................. Date Application Disapproved for the following reasons________________________________________________________________________________••_---_•_.-•--_________.._...... .......................•-•••-----.....---•--••-------••-•-•-•••-•••--•----••••._....••-•---•-----------...-......_...----------•-•-----•......•••...••-••••-------•--------•••--••--••-••-••-------••_••- Date PermitNo...... .1!3az.-------•-•-_._.. Issued....................................................... Date No .:,..::?.1 2 , �Fss..Ult.9p— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................----Timn.........OF........... , 1�; tx ........................._.................... Appliratinn for 11hipasal Works Tonstrn#ion rumd Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System, at: ..................... ......... 33 --•------•--.... Location-Address or Lot No. J9.XA... .............................................. .33..Sno16t..Cr_eP.k..AjC...._.. f Ma ---�y.�][tl�.-��'-s----....a.............. Owner Address W a .A. ...B..Can e.:.................... ......_ 350..Main.-St-*.....W--.•..XAaG:t�Q=h*6..14.A................... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............A............................Expansion Attic ( ) Garbage Grinder) a'4 Other—T e of Building No. of persons............................ Showers YP g ---------------•-•--•----•........._...--•- --�- ( ) — Cafeteria ( ) dOther 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........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .................................... -.......................... •................ ......... _------ _••-•-•-•------- ---•------- •--....--••-•................. .---- 0 Description of Soil.............................................................-•------........-----•--------............................................-----•••-•.............------•--- U --•----------------------------•--------- ---------- •--------------- -...................... •-•........ .-.......... ------- ..-------------------------- • --•----------- W .. U Nature of Repairs or Alterations—Answer when applicable....3...1±a.awjdafuwara..pack ..With..%as.h,. '...SLtone..off...E, ting..disitxibatijm...aox........................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLr; 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. Application Approved B .- — �• D 1 e PP PP Y.....- c .,.�,.. _ _.... fit----- . � :65. Date Application Disapproved for the following reasons:---•..........................................................•--------•------------•--•--•-•-•-•-......------ ...--•-••-••.............••----••----••-•-•••••-•••-----••-•--••-••--•••-•-•-••-•._...------••••••-•-----......--•----•----•••--•••••-----...._........----•••--•...---••-•..................•-•......._ Date PermitNo.....` .....�.f.��- ............----- Issued_.................................................... ••- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF........$a17`3tsib. ......................................... ............. .............. ....... Tntif irate of TI-Implianr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) b A..&..z..cat>�a...............am.. kin....t Installer at_....3.. Snow_.Creek..Dr,�._...HyaTt3�i ;...... ... ............ I'at.V L ?D to 'hl has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ......... dated.--....!.7.:;....! .�. ......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. v1 �0----:45............................................ Inspector_....-•--•-. •..... .... .. .. ..--•--............. THE COMMONWEALTH OF MASSACH SETTS Patrick LaPorte BOARD OF HEALTH . 1> Z ....................Town............OF.......BAX S.tAble. No.. s.r.�:...�.._.... Fn.... Mt.9... Dispo Works Tonn#rn#ion Vrrmft Permission is hereby granted........ .......-----...----•-•--.................-----•---.......................... to Construct ( ) or Repair ( n n }"vidual Sewa a Disposal System atNo..=.: ........�f�ra�2. ' ,._:E.�'ra:1`...: C.. �h .................................................................... ....-- street as shown on the application for Disposal Works Construction Permit Nd&.E..:: Dated.......�.. ._-:.!.p.;- `'-,--... ........ Board of Health DATE.............12 v �. .....:- FORM 1255 A. M. SULKIN, INC., BOSTON