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Home My WebLink About0077 STRAIGHTWAY - Health 77 STRAIGHTWAY - HYANNIS A= 267- 150 E 1 d II I 1 I. i r I ASSESSOR'S MAP NO. PARCEL L O C A T ION S E ACE PERMIT NO. YI LACE (,(,�/I d1 I S T .I L MER'S jCU�N�A M � AVRESS. U I L D E R OR OWNER DATE PERMIT ISSUED � �� DATE COMPLIANCE ISSUED �f k _ i O �' r�_ �. �\� ®•. 1 �' � ��' 0 1 �.�. (v[[[[��'� I i�` (� M1 r (Ar, r� a � � _ - � 1 �' � ' � S � � � � � -. � r � _ _, v No. .!_...... � / F$s..... _. THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH ..........OF-...��.A:-:'V:.�;Qw0.\ .......................... Appliratiatt for Disposal Works Tonstrur#ion rani# Application is hereby made for a Permit to Construct ( ) or Repair (�an Individual Sewage Disposal System at:, .. "Locatio -Address or Lot No. e Q°........... ................ •. ... --•-----•-------•-----.............._......_ ..... s Owner Address a ........... '�` ..S�-1P.:i ..... ::.`ice..................... ....... f�-1 Q.)_!((... ................ •-•-----...... pq Installer Address 4 Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms---..�---------------------------------Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures ..-•--------•..........................•---........................-•--------•-----------•------........--------.._...---•-•.._............_.....----- W Design Flow.......... ...................gallons per person per day. Total daily flow.....X_;?.Q.........................gallons. WSeptic Tank-Liquid ca.pacity10P.gallons Length...._....... Width-_.Y__....... Diameter................ Depth................ x Disposal Trench—No..................... Width......-............. Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.......I------------ Diameter.....L.L2`..... Depth below inlet....6_t._._.._... 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.....................--. Li. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------•-----------------------.......................-- .... -----. ..........••--------- 0 Description of Soil............................................................................................................................................................................ .•......------. ••-•-------•------....•----•---• ------------------- �-------------••......----••......---------�.----- . ---------•--:-----.......----......................�................ V Nature of Repairs or Alterations—Answer when applicable .........1-cam..... rwl _1t` �`2 ......sue. _ .------•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITU 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 b the board of iealth. -- .. _.. Application Approved By...... ............................. 41---- - Date Application Disapproved for the following reasons:.............................................................................................................. ------------•--------------------•............................---............-•---------..... mo�oo,, �J ,! ......................... Permit No...� .__.... 4�•{------------------- Issued-..___. `_ .__ Date Date •--•... ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........"'c........ v .-----.._.OF- m�- ---------------------- Application ,� ,��rlirtttion fur ,�is�usttl ork,� C��unstrurtiun ��ermit p is hereby made.for a Permit to Construct ' 1 y ( ) or Repair (r✓�an Individual Sewage Disposal System at: ............`2'`7_� t-�r- , 1�T,u�1- �/ .E1_ ... Location Address •-• ... t X'. ` ...or.Lot No.......................................... ........... ----------------- ':"""•`,-•--•-----------_---_---•--•---_-_-__-----_-----_---..----- Owner " Address W . � �,lQ�ti.�l �� T�L �i. O 'attr�t•-vi^ock�•, 0 -- ---••---------•-----------------•---•----...........•---- t Installer ; Address Type,of Building Size Lot.................:..........Sq.. feet a Dwelling—No. of Bedrooms.....:T---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—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. 3 Seepage Pit No-------I------------ Diameter.....l.[7`..... Depth below inlet................. Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by............................................................-=k..-----. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1.4 44 Test Pit No. 2..........:.....minutes per inch Depth of Test Pit.__................ Depth to ground water........................ a = ---------------------------------------------------------.----------------.... 0 Description of Soil.................. .. ...................... ..........._... ...... U ................................-..............-----_...... ......................................................-.......---------................ W U Nature of'Repairs or Alterations—Answer when applicable......:_.:..� !_1?A.`.__....1.��` �._...5'P_ Agreement: - ..� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1S 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. Date ApplicationApproved By................................................................. •-----•r�� -•7-- Date Application Disapproved for the following reasons:.............................................................................................................. ..........................................•-^--..�._.........----1..-----•--•---------•-••------••--'•-•--•----------........:..__...----•----.._...---------------..._..7..---Date-------._.._. Permit No...`�1 '' -------------- Issued-....-. `/s Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0,__4•-1_j11.- wS- ..........................................OF.....`�a w.Y"t.......Z......b 4--�. 01rrtif iratr of Tomphanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( �)/ bY................. .........................tiA _; z ......................•--•-------------•---.....---•----------............... ..._ Installer at..........................: _.. ->`� r_� v� .-r u.�� l4' r--!a-ti --------- has been installed in accordance with the provisions of TITLE 5 of T�e State Sanitary Code as described in the application for Disposal Works Construction Permit No.�-_).....�.V•............... dated_.. - g� ........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON - UED AS A ARANTEE THAT THE SYSTEM WILL F NCTION ATISFACTORY. ,�' :. *e4' DATE...... ....7 ................................ InsP THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 q ...........................................oF. ...........................................1 �- ........................ --� y NO......................... FEE .............. Disposal Works Tnnstrudion 11trmit Permission is hereby granted............... t,�1 ��' t--✓� S- _ c .Z....................................................... to Construct ( ) or Repair Individual Sewage Disposal System . atNo.. -� r Z�, t► . k� _. 1- . sA yr ...............v................�................J.Y -............:........r........_._..__.. �.�-_� .. .. Street �� J as shown on the application for,Disposal Works Construction Permit N ....... Dated............. A? Board of Health DATE. .. j rA q LOCATION / SEWAGE PEOMIT WO. VILLAGE INSTTA LLEa' NAME L' ADDRESS BUILDER Oa OWNER A DATE PERMIT ISSUED Fe )0. DATE C 0 M P L I A N C E ISSUED f �� - �M J ii� '�� _ � N a � J No. ....... Fizs.. �... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..............OF.../.3 91VAVSZ V&...----------.................... Appliration for Uh4paaal lVorkii Tongtrnrtiaan Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at •......... .... . .. . ... ..... / ...AkIll ..-1.............--- ...................... f cation-Address or Lot No. .... .. .:. -----•--•--•----------•------•----•----•--- Owner s Address W Installer Address Type of Building/ Size Lot. _4-1 ...Sq. feet U Dwelling—No. of Bedrooms......... ..............................Expansion Attic ( ) Garbage Grinder (PIC) Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures -__---------••____________________ W Design Flow_____....... ....................gallons per person per day. Total daily flow............... 30.................gallons. WSeptic Tank t Liquid capacity/!Wgallons Length---8__�.. __._ Width__Al.-18-_ Diameter___ ---- Depth.: r x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area............ .__.sq. ft. Seepage Pit No------1........... Diameter........ Depth below inl t____.�_�__.__ Total lea _ ching area..e t; sq. ft. Z Other Distribution box (✓) Dosing tank ( ) � ~' Percolation Test Results Performed by.......Co'!_14�.....yy/m.T.......................... Date...1f.31/rla...__.__. aTest Pit No. I.. i....minutes per inch Depth of Test Pit.--./,2......... Depth to ground water_./Y_{Z�1/ . Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------------•-------------------------------•----------.------------------------------------------------- •---------- O Description of Soil.................Q.-13.0.'1_. _ i9l�Z.at.--sSU sS C�� -----------------------------------------------------....------............----- 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 I i:Lv 5 of the State Sanitary Code—The undersigned further agrees not o lace he system ' operation until a Certificate of Compliance has b igsu d y the boar. of 1 Sied__ %%��6 � '-------------- ....----- . ......=......................... Date Application Approved By... - =' = f ........................... ----"? - ` Date Application Disapproved for the following reasons:..................9...................................................................................... - ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date �� Q - � - • -rl No.......�----....... Fps.. ?a.cr.- :� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,r Applirtatinn for Dhipaii al Workfi Tnnitrnrtiun Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........ r � ' ................... ...................... ......................� . .l.....• .....-�--------...•-••--•--•---------•--......•-- cation.Address or Lot No, W Owner .+? Address u,, , a •--•-------1 �' ............................................................ ....•... -•-----•............................•.... .�F rl ......................................................... P Installer Address _ Q Type of Buildin� Si V t ze Lot.j ,..s'__........Sq. feet Dwelling No. of Bedrooms.............. __.Expansion Attic ( ) Garbage Grinder Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 114 Other,fixtures --------------- --------------- W Design Flow ....... .....................gallons per person per day. Total daily flow__-____-------- : �-�? -:............gallons. t� Se tic Tank Liquid ca acit, f'(? " <.�� p q p gallons Length-_ ..._ W>dth.__: ........_ Diameter_=.^__. '.... Depth�_ . _:...� Disposal Trench—No. .................... Width.................... Total°length___......._._....... Total leaching area............ ___sq. ft. i Seepage Pit V .o....._/_....__.__.. Diameter Depth below inl t.._.�-�_... Total leaching area.. � �_j- q. ft. z Other Distribution box (<'") Dosing tank ( ) '-' Percolation Test Results Performed by....... ef 19-11 ...`rI&IIIV ................ / "' r' :" f-' ---------._. Date--��--=-=----_--------=--------•---- ,� Test Pit No. l.. _€f.....minutes per inch Depth'of Test Pit...a! --------- Depth to ground water--- Gi, Test Pit NL 3,,2................minutes per inch,, Depth of Test Pit.................... Depth to ground water........_............... r --------------------------------------------------- .............................................................................................. 0 Description of soil.............. » W = :: = ------------------•------------•----------- U Nature of Repairs or Alterations— Answer when applicable----------------------------------------------------------------------------------------------- .......................... T. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 5 of the State Sanitary Code— The undersigned further agrees not o lace he system " operation until a Certificate of Compliance has been issued by the board of health. Sied....................................................................................... Application Approved B .U�-•-. ........................ ......................a d...... :. Date Application,Disapproved for the following reasons_____________________ ........................•..... ._......_...._ -•-•-------------........................................... .........................--------- Date PermitNo.......................--•-•--•-•••--------------------- Issued----:............................................... Date r' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :....T o .............OF...... ................ (Irdif iratr of 101,11ntpliFanrr THIS TO ERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) ? 41 b ��' -----• --•-...._----• --•-•----------------------------- ......_...... .._ .. ------_...._ ° Y- I Installer at Aor has been installed in accordarfce with t e rovi ' ns of `" of The State Sanitar Cody as des ri d in the Y application for Disposal Works Construction Permit . _•__ _ .�'�..................... da.ted__...i2......�-��.............. Tlal6 ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............. 2 3- .......................................... Inspector - - ----------------------------•••- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... Q. ....:. OF...... ................ NO....... .. ......... P FE ............... Uispos al Workii Tnni#r ivit "permit Permission is hereby granted...................................... ---------------------•-----•---------.......--•---------------------- to Construct or Rep 'r " a (dual Sewage Dis osal Sy term as shown on the application for Disposal Works Construction Per,rri No.. .j........../:_ Dated----X _- ........... `✓ r DATE �;Olmd g E.O'RM 1255 HOBBS & WARREN, INC., PUBLISHERS r it 7 3t IVA ii ` . fr 40 A M S 046 S 014 66 1rii •. r r J. e)U LDJnrG S Sc D F20X/7- S/ L7E T�E,�i T'• P2 ao SF_Z7 ! t S"E P T t,G 5-/ TE N: CONS T2 UCT14N,:• ' t SHALL CONF,02M To MASS. �ESiGN ZpW .C3.. 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