HomeMy WebLinkAbout0325 STEVENS STREET - Health 325 STEVENS STREET, HYA14-NIS
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LOCATION SECJAGE PERL7IT `4g0: `—'
VILLAG
INSTA LLER'S NAIVE b ADDRESS-
8 U I L D E OR OWNER
DATE P E R K I T ISSUED
DAT E COMPLIANCE ISSUED ��'
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
7T-'G�i±',1...........0 F.s. .................................
4pliratinn for ElWpaaFal Works Tnimtrnrtinn ramit.
Application is hereby"made for a Permit to Construct ( ) or Repair (1-�'an Individual Sewage Disposal
System at:
------------- ----•..._..... --•---------------._.._....--------...._.
Loca dress i r Lot No.
........ .61-e'�')1 .-- - ----------------------- _.._.__.l L ,l'Jd'l/..� .....t
`-�-- /' Ow�erf �j�` Address
W �4.lrfir• ..............•--•-------•------••--•----........----•-..-•---------•..................------••--
Installer Address
d Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building ............... No. of persons............................. Showers —
� yP g ---•--•----' --------------•---------------P ( ) 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........................................
aTest Pit No. 1..........:.....minutes per inch Depth of Test Pit.................... Depth to ground water_._._________-__•-_____.
f3 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------...............
ODescription of Soil ,crl. -----------—V ra— -----•--------- •-------------- -----------------•----.------------
x
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U Nature of Repairs or Alterations—Answer when applicable_ __.1'-�Q��_ .�:... ...........................
--------••---------------------------------•-----•-•----•--•----------------..........................N- ---� ••(----- ...............................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iiTLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue by t be of health.
Signe ell 16:11
. .... -----•. - •. -----------------
... .
Application Approved By--------------•---•-------- ------------____ � �6 2
Date
Application Disapprov f o the following reasons---------------••-----------•----- --
................•--•---•-•---••-------•••----•-•-----••••-----•-----•--••-•••••--------------•------•---------------•--------•••------•••-•-•---...----•--••-•---•----•--•----••-----••••-•---•-........
Date
PermitNo........................................-................ Issued_.................................:.....................
Date .
THE COMMONWEALTH OF MASSACHUSETTS
�. BOARD.OF HEALTH
..............'. ! :.. ..........OF...:._. a !, r �`tF_....
ApplirFation for Diipooai Work.6 Tonotrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( Z�'an Individual Sewage Disposal
System at
u
............................... ............. . . --•------•^ ^.._•-. .-••-•-•---..__..
Location-��Address, i' t , or Lot No.
7 f"
r.tr....... ......... (�� ! a; un .....................................
r Owner { /d Address
i
fl' j ✓ "1 �`,f �.f0i l rvr � ..
Installer Address
dType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (. )
pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
P.1 Other fixtures ----------------------------•.--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth.................
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........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
......r_ .. ---- ------ = ----------------------------------------------------------------------------------------
O Description of Soil. = r7' ✓.. ..............j.. �`= r r`
x
:....
V -----------------------------------------------
---------------------
-.....................
.
W -----•-••-•--- ------------•------•---•----....••-----•••---•--•-•---•--------••----•--•-----•-----• ................................................... •• ----------------------•--
r7 "
U Nature of Repairs or Alterations—Answer when applicable--,___ !r, �! d s r ..._..! r ZV.................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
_the provisions of iT�a'• 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
Signe&-41 u ,+A4 e e°�r� G'J s �r �vr r V
----- ---_. ...•--•- -------• ..----� -------•- _-•---- -------- ---------
Application Approved B_... •------------------��•-.....---•------------•---•---•--......-------------•------• T �'fT /Date
'e «r/%��r.e.
Application Disappro ed f r the following reasons:..........................:
-------------•-•----•--•---...----•-...........................Date---•--•-----..
0
-•------•---.....-•••-----•---•••---------•-_._.....-•-------------------------•-•------••---•-•----•---•-••---•--------------------------•...........................................................
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. ..........................
Trr#ifiratr of Tamph anrr
THIS IS TO nCERTIFY, That the Individual Sewage..Disposal System constructed ( ) or Repaired ( )•
t f fl ri Install ' I ! {
� l l r
at ... _ ! .r..._ .__.« ...... d ,p n...... ...... .� _r_.c_. .....__.._._..._..__...__._..__._._..____............... .;...... "¢.................
F ........
�.
has been installed in accordance with the provisions-of T{�'L:;, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No. a.__..-3,�a................. dat r...$;. ..2.-=.................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RID D A A G RANT THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
.........--••••----•----...... Ins .� --- ----- -----.....�...........----•
DATE.......................................•---•--.... Inspector
p
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ! a
i
FEE ......................
'VI 11
�i��os�t�r nrk� �,Fon�#rnr#ion /�pr�nif ,s' yf �-
Permission is hereby granted ..:.._ .�._.d......L. �G�'. --" .. ..................................•-•.
to Construct(f ) or Repair J+,,J) an Individual .Sewage DXsyosal System I N t c , < i�
at No. ,r F. } .�_ > 4, -- -• ------L I= f,.. 1_.� ---�--�
' reet t
as shown on the application for Disposal Works Construction Permit . 210........... Da d.z; .._ _�.2.:.................
i
------------------------------------------------------ ------------•----....--•-•........_
Board of Health
DATE.......................................-.......................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS -
4170
LO>CAT ION S EW GE PERMIT NO.
3C-)s's S lei
VILLAGE- L
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G'fi►^
INSTAL ER'S U A I&E & "DRS
B U t'L Of R OR 0W41U
DATE P E R M I TL ISSUED
DATE COMPLIANCE ISSUED
ib �—s — fib
"Y
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CIA
I
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I
L,0 C. l 11 SEWAGE '"PERMIT NO.
VILLAGE J�
lot- awl S
INSTA LLER'S NME & ADDRESS
e1-2-,
BUILDER OR OWNER -
DATE PERMIT ISSUED I—c;2
DATE COMPLIANCE ISSUED
V
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5.
Fps.........� .............
THE COMMONWEALTH OF MASSACHUSETTS
a BOARD OF HEALTH
a ..._............Town.....o F.......B.arn.s.table..................................................
Appliration for Biipuiial Works Tonatrnrtiun ramit
` Application is hereby made fora Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
System at:
......32-5--.S t awana-•-S.tx e.e.t-r-..4annis--••--------
Location-Address or Lot No.
......Gu.ertin. Bias.•.........................•-•--••-•-................... .,.4.. - ox.....Gs...Hyannis.t. a. -02601....-
�i W B Owner Address
a ...&.. ....aessao1...S.ervi.aa............................ .128...Bishops--•--Terrace_,_..Hyannis-,___�:a.
A
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...:.......................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Buildiii No. of persons............................ Showers
a —Type g -------------•-•-------..-.. p ( ) — Cafeteria ( )
d Other fix
W tures ----------_--_------•--------•-----------------------------------------------------....--------------•----•----•----------•.....------------------
Design Flow.................. ........................gallons per person per day. Total daily flow............................................gallons.
. 9
Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter.---............ Depth................
xDisposal 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..------.............--.
fZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................----
1:4 ----------------------------------
•.......
-...
..-.---------------
...--------•--..------•-•-------•----•--------------•.......................................
Description of Soil...............SaTld
-
...................................•-----•---------------------------------•-----......-----------•-----------•-----------------------
x
W
U Nature of Repairs or Alterations—Answer when applicable Installation of a 6X8 pre—cast with
35...tons....of lP stone
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT .;,., 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 e board h.
s' ..�. ........ �...,,� •-1/26.47.9..........
Date
Application Approved By..... —-------------------------•- ---
Date
Application Disapproved for the following reasons---------------------------------------------------------------•------------------------- ......................
..............................:..........................................................................................................................................-•---•-------•-•--•-••----------
Date
Permit No.---. .......................... 1 26 79..
------------------- Issued l
Date
JI
4.
No. . ....J!.7_ Fin$..�. .ao.............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town.....OF........Barnstable...............................
�ji� Appliration for Disposal Works Tonstra.rtinn jhrmit
f _
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
9cann�s.............. --•------------------------------------
Location-Address
or Lot No.
.._...pia er tin...Broa.... .... ?.El- a � ri.� .,... .....4 Q1..........
Owner Address
a .. :.. _..Caaapaol..ae. y ca............................ 12:8-..biahopo......TArr n.#...
Installer Address
Type of-Building Size Lot............................Sq. feet
U6
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage .Grinder ( }
pa
.Other Type g ............................ No. of persons............................. Showers ( ) — Cafeteria ( )
' =T e of Building
Other,fixtures --------------•-•--------"------------••--`----------.....----------------------------------------•-•--•--.......
W-M w `"Desi Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank Liquid capacity............gallons Length................ Width................ Diameter................ Depth:.„............
DispO�al Trench—No. .................... Width.................... Total Length.................... Total ,leaching area....................sq. ft.
-'S.eepage 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. I................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........................
R' :{ ........................... ... ..
OA� Description"of Soil...............Sa??a
/ .__•_______•___•.......:.................•----_-----------_-------------•__-•-••---•............----------•-•-_--_"--•-----------•---_-----•-•_-•___.._......______........:.____......._____„.__..._._
U Nature of Repairs o Alterations—Answer when applicable Installation of a. � 8 px-- CaBt iith
35 tone o f a�' stone ......................
--------------------------- --------------------------------"--------------........................---------------"-----------"-----------...---------._...-------------••------•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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 e-board
Sin „ .
Date
Application Approved BY..... ... - lrf�l!1-1 %. .-.-.---.--•------------ 1 -2-6- - -T�
„s1' _
Date
Application Disapproved for the following reasons:---"-------1-•---------------------------------------•---------•-"---=---------...------........................ '
Date
Permit .-_7 ..................•-'....................... Issued..-----•-----------"-----------
Date
3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH `
Tovan-� o.F. .-Barnstable
�rr#i��r�t#r�,af f�nntnli�anr�e
THIS ISTO°.CERTIFY That the Indvvidual Sewa`e Disposal System constructed or Repaired X
by-�...&._---0aaapa o.1.. er .3:�eli�.,... 2 ...Bisi Pis...2arr-ac a...---H_t-a-m s.0..144 < QM!.---
F Insta ler
at325... .teu�na---Str.e t o...I �iri...... ----- Y_�....In�. r4$.=
has been installed in accordance with the provisions of T ,5 of ,The State Sanitary Code as described in the
application for Disposal Works Construction Permit N .............. dated:....V.��. 79--- j-z- --7
THE"ISSCJA� lCE'OF THIS CERTIFICATE SHALL NOT BE CONSTRt1ED AS A GUARANTEE THATjTHE
�. �..;.
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-- �.„ .:..7 ............................................ Inspector..:--.../�----._.. ._6 C
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.. . .................Town......OF.......Barn.a.tahl e..............................------......... 5.0 0
.• FEE .....................
D ona n� arks Toestrnrtuan rrani#
Permission is hereby grante esspool : ervioe t 12 Bishops Terrace, Hyannis
to.Con�t' � p'a rt ' �tg I ,aaR1LPgwage-Dis Iftan Bros.
No. . _ -------------------------•--•-------•-"----------•-----•--.........--
Street
Leh
as,shown.on the application for Disposal Works Construction P it --/J1--J- - Dated..1 7 ----1-- •9.7 J9
I� .. �....................................„
. Board of ealth
DATE.
FORM 12 5 HOBBS & WARREN. INC.. PUBLISHERS -
I-f
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I
TOWN OF BARNSTABLEMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
stlSfaCtory 2•Printers
BOARD OF HEALTHrk'roc3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANY "0_47 g- (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESSr. S 'Class: 7.Miscellaneous
*957-Z-QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS ,
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
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DISPOSAURECLAMATION REMAItKS:
1. Sanitary Sewage 2.,YVater Supply
0 Town Sewer ublic ¢,
O On-site OPrivatej
3. Indoor Floor Drains YES !:�NO
O Holding tank:MDC_ C77',
O Catch basin/Dry well1 ,
O On-site system
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC _ o�� �GQ
O Catch basin/Dry well
O On-site system
5.Waste Transporter
rtttum
7NO
1. Q
Person(s) Interviewed Inspector Date