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Home My WebLink About0057 SNOW CREEK DRIVE - Health } 57 Snow's Creek Drive Hyannis A='325-151 i� I' l _ J No...... Fx$.. ........................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HEA H -:......OF......... . .... .. '.-'-------.... Apli iration for 43isposal Worku Tvastrurti»n Prrmit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal Syst: a .. .. ... -..... • .... Location•A s o �Z T... ...... r Lot " c�. a. .. ... .. ................�e Z.� � r.....Z.:... r ......... ......... caner• ...... A d .S. ................................. .. 1si. .ro�.. . .... Installer Address v Type of Build Size Lot..f�..� _-v...Sq. feet Dwelling No. of Bedrooms.......... .........................Expansion Attic ( . ) Garbage Grinder ( ) Other—Type of Building No. of persons........................... Showers — Cafeteria Q' Other fixtures _._.. d ---------------•...................................................................................................................... W Design Flow.........r:............f ._.__.._ lions per person per day. Total daily flow...............2..d' ......_gallons. Septic Tank—Liquid capacity/" allons Length................ Width................ Diameter................ Depth.........------- ZDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area...........�:sq. ft. Seepage Pit No.._/------------- Diameter.............._..... Depth below inlet.................... Total leaching are; ll_i_ ........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by ------- ----------------• Date a a Test Pit No. 1................minutes per inch Depth of Test Pit....__.............. Depth to ground water........................ ri-4 Test Pit No. 2................In . per inch Depth of Test Pit.................... Depth to ground water__._____________-----._. ----•••--•-----••---•-•------------------•------------......................................................... O Description of Soil........... fit,. W VNature of Repairs or Alterations—Answer when applicable................................................................................................ ••--••-------------------------------------•-----.....--------------'-------------................----------'-----------_._...----.........--'--------------......-----------'-----------.........------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Co —The undersigned further agrees not to place the system in operation until a C tifica Co pliance has been s ued by the board o ealth. Signe Application Approved BY - . t � ' Date s.. Application Disapproved for the following reasons_______________ -------------- Date' PermitNo................ .... Issued...............................�_ .. - ..................................... Date F$s.., s.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD ®. HEALTH H _... i,� ..-..... OF........ • , .� +w Apliliratilu for Bitipmal Works Tomitrurtion Vernift Application is hereby made for a Permit to Construct (1e) or Repair ( ) an Individual Sewage Disposal Syst at Location- 1d r s _ or Lot ........................... � - . �+'�to9t. 'fir.-... -- i'f��F " "': .... caner ! A rj } •.. ---•--•--------------- Instal Address Type of Buildin / Size Lot../ _ _ . .._Sq. feet Dwelling X. of Bedrooms..•......... .-".:...................Expansion Attic ( ) Ga bage Grinder ( ) a p-, Other—Type of.Building -----:_______________________ No. of persons............................ Showers ( ) Cafeteria ( ) al Other fixtures W Design Flow.........................r. ..........eallons per person per day. Total daily flow__________ -------gallons. WSeptic Tank—Liquid capacity ,,.. allons 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 areas419 __sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...---_--__-_._---__. L� Test Pit No. 2....._..........minute per inch Depth of Test Pit.................... Depth to ground water....................... O Description of Soil '> - ----•-•-••-•--- W UNature of Repairs or Alterations-Answer when applicable_............................................................................................. ---------------------------------------------------•-•-•-••--•--•-••••. -•---•••-•----•--•-•--•••--•-•-•-------------------------•-----•---••••---------------------------------------•-••........•---•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Cer ficate Comtpliance. has been ued by the board of ealth. elk -r'r` �+tf .. Slgried - '`i *'y d.. F. _ -�,. _s ` Date. am ----------- %%%—ae----------- Application',, APProved BY - ------------------ ------- -------- ----------------------------------------•--------------•••-•-•---.._....APPlication Disapproved for the following reasons: ------------------------------------------- ---------------------------------------------------------------------------------------••---•-------•----------•--•-•-------•--••-••---•---•..._----_._..... Date Permit No: = ........... Issued........................ .......................... Date' THE COMMONWEALTH OF MASSACHUSETTS BOARD _OF HEA TH. , .......... ./_-K �i ✓e ......OF . „ :. trt .�'4..... ....................... ': Cnrdif irate jot Tantpliattre THIS IS T\O CgRTdFY hat the Individual Sewage Disposal System constructed ( or Repaired ( ) + t T staller ` °has een installed in accordance with the provisions of Article XI o e State Sanitary Cou a d nb d 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. DATE................................................ ............................... Inspector----•--•------••••-•--•--••••-••-••-•-•-•-•......_..............._................- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF 1-14n.."4.......................... No......................... FEE_„1-............... 43hipgaIdividual r 1 � itetort nmit to Constru or Re air ? an Z ._..------• ... --•--------... ......Permission hereb ranted. _ ;2. .:_( p ( wage Di posal ystem at No.... :... .................................... Str t as shown on the application for Disposal Works Construction P L erput i .�..... �. Dated , _. .............. Boar, of Health r DATE.............J -- FOR1d 1255 HOBBS tic WAP.RFN. 111IC., PUBLIS,H.EPS-