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HomeMy WebLinkAbout0012 STEVENS STREET - Health � s��r.�s �, �s LOCATION SEWAGE PERMIT NO. ea VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER Dr mod, DATE PERMIT ISSUED �'-S-J DATE COMPLIANCE ISSUED +'S 17 Nn TIN D d g3_ $ 10.00 tiNo.. -- ... ._ Fps............._............... �,. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..................Town..............0F........Rai tabl,e.......--•--------...---------•--•-----•---•----------- Apptira tiou for Disposal Works Cnoustrurtion Frrmit N Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 12-.Stayers--St•••,•--1t3 xir�is;..ZA......02LOI................... .....••-•---•-------...-•-•-•-----.......---•-----•--•-----•--•--•------------•-•--.............-- Location-Address or Lot No. D.au&las...Knot`ts............................•--------.._..•....--•------•-•--....-- J-7._aun..set._I?22x;._.I eeAWaj.,...MA..... Z03...................-- Owner Address a A $..CespoQ1..Set ............................................... ,._ ...PQ Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.....................3....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons____------------------------ Showers ( ) — Cafeteria ( ) G►, 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 ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test 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........................ P4 •-•----•----•--••••-•---••-•••-•--••••..............•••-----••-•----.........__....---•-•••-----_---........................................................ 0 Description of Soil.........Sand--.................................................................................................................................................. W __ _ _ __ __ ___ x installation of a 1,000 gallon, pre-casfE, U Nature of Repairs or Alteratio s—Answe when applicable.______......................................................................................... stone packed leach pit Zoverflow� . ............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI A'11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ssVed bey the lth. 9/13/83 Date Application Approved By......•-•- - /1 /83 Date Application Disapproved for a lowing reasons------------------------------------------------------------------------........................................ .......•-•-•--••-•••..__......••---•-•----•--•-----••--••---•----•-••-•-......•••••---.......••----•-•--•-•-•--•----•-•-•--••••-•----•••-•-•-•-•--•-------•-••--•••-•--•-•----------•---••--•-•••-•-••-- Date Permit No.._8_'�-............................................... Issued.........9'J-3/ 3 Date No..............2L FE$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................Town..............O F........Barnsta1?le........_.--....._..----------------................. Apphration for Biapooal Work.6 Tonutrur#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 12..Z:Leuens...S1..l...H..yarmia,...YA.....o26ol.................. .................................................................................................. Location-Address or Lot No. I1Dl] 8._�27.nt+.S............................. .17..�11J1fi��..��.+t.�..��5�7"Ic1,�!a...YA....Q?Q53----......-----••--- Owner Address a : .B O s1Z�3s�l.. e�.Y1ce............................................... ..128.B g ops•Terra a...Hyannis.�._;a 2601 Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms......................3....................Expansion Attic ( ) Garbage Grinder ( ) ............... No. of ersons._2................._._... Showers — Cafeteria p., Other—Type of Building _____________ p ( ) ( ) w 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test 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........................ a •-••••••--•-••--'•--•----•-'•••••••••••---•-••••-•---•••-•-•....-••--•-••.............•---••---..._...-•--•-.......••-•-...................-----....._..._... 0 Description of Soil..........Sand.......................................................................... ---------...------------------------------------•-•'--••-•--•----•-••--••- x �, ---------------------------- w x ................ --•-----'-•------•-••-•--------•------'-----.....-'------------••••-•-•--•-------••---••-installatiori--of-•a•-I;.013iy--ga7Tori;•.pre-cast, U Nature of Re air or Alterstio s—A wer when applicable................................................................................................ stone pack�I leach pit �01 rrlow) . ---•--------------------------------------------•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha�ss, ssued by the�boki=d of l lfh. S.igr[ed ... .t -�-_ C j1>4 � c�: ?, ►I 9 i3/83... l�r ' Date Application Approved By....... ��' -; --------_----•---------- ........9/13A3............... Date Application Disapproved f orit-a f>B lowing reasons:--••••---•'---••---•--•--•-•---•-•--••--•-------'--............................................................ ....-•--••-•.....-----'•--••-•---•-•---••---•••-•-•-•--'-•••--------•-•-••-••-••----•----...-•-------•--•..••--•••••-•••_..••----•-•-----•••••-----•-•-••--•-----•-•----- ............................... Date Permit No...$3:.............. -------------------•--------.... Issued_.........9113 -83---------•-------•---•--•---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Taan Barnstable ..........................................OF..................................................................................... VrrtifirFatr of Tontphatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( X) MA by .. .B..GQ .Qo1_.iaQ52.Y1'YQA... isl............ 2............................................... Installer at....U._S_t�y®ns••St,., .=i:Y.ann3es- •...A----0260.1..- Rouglas-_K.nott.s has been installed in accordance with the provisions of TITLE 5 of Tl jState Sanitary Cod as described in the application for Disposal Works Construction Permit No.___-__-n.-.._ a._ _....... da.ted._..._.9/._13�83.._.._..__..•_._•--••••- THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED A GUARANTEE THAT THE ti SYSTEM WILL FUNCTION SATISFACTORY. DATE-------9t.1.3/0........................................................ Inspector---••-. ..... .................................................................... i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .......................OF..................................................................................... 10.00 No.... .". ....... FEE....�................. Dispolial 1pory�pTpil ion amit Permissionis hereby grante ---------------•-------------------------------------------------------•-•--•----•---------------.-...-•-----.-----------.--•------.--------- to Construclt2(St)e$ tlBeRaat.( � IWivi �Ial D1 8t l t otts atNo.............................................................................................•....-------------------'-•-•---•------••-•'••----•---••--••--•-••-•------•-•••-•-...._._......... Street as shown on the application for Disposal Works Construction Permit No.837.....e'- ?/Dated.._. ..................... 9�13�83 ;fl: .... DATE_ Board of Health ---••---••--....._•••-••--••••••-•-•--•- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS