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Home My WebLink About0014 SUGARBUSH LANE - Health F-oa h�.-09) to !�a V n 1 ASSESSOR'S MAP NO. 4-26 7 PARCEL y 8C- � LOCATION jlr SEWAGE PERMIT NO. V I L L A C E INSTALLER'S NAME A ADDRESS UILDE R OR OWNER DATE. PERMIT ISSUED _ _ . DATE COMPLIANCE ISSUED � � _ ` j II i � �1 -- � Cl� S n 6'' '^] '` i�\ � i � � :a K•�• ' f t ` ASSESSORS MAP NO: �7 :a No.:.. .. :t►f PARCEL NO.: 1100� � uic............. COMMONWEALTH< THEBOARD OF FHEALTH Ts Appliration for Bhip Baal Warks Tonotrnr#uan Permit Application is hereby made for a Kermit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys a ........ ---TEL........................................... Q Location-Address or Lot No . Owner Address Ww`•••• ----- -----------------------------•-----•------------------ . ....----------••----.................-----•--..............................•...............•...... a Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......�f�..................:..............Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons............................ Showers Aa YP g ---------•-----------•------ P ( ) — Cafeteria ( ) a' Other fixtures ........................... W Design Flow......5,1................................gallons per person�er day. Total daily flow__....-.`L2-0........................ ons. WSeptic Tank—Liquid capacity�� gallons Length............... Width...Y........ Diameter________.____.._ Depth.............. Disposal Trench—No. .............. Width..•.._._....._...... Total Length.................... Total leaching area.._......._......_..s . ft. x p ...... g q � 3 Other Distribution box Diameter..O.rS tank Depth below inlet_�{!............. Total leaching area..'`/A.f..._.....sq. ft. Seepage Pit No...... � 6 �I Z (� Y .. ,.•-•( ••-)- - •- :t------- e✓r�............... Date.. .._Percolation Test Results Performed b ._ �1. �11C� � 3................ Test Pit No. 1................minutes per inch DeptlS of Test Pit.../6.6.f....... Depth to ground water.-JAOP•......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ------ ----- -- /--- ..�� _ 0 Description of Soil.........6�--•-•- b � -------------••••--•----- --------•------.------------........... - x -------------DESIt3NblelO-.ENOIN EA.MUST SUPERVISE U Nature of Repairs or Alterations—Answer when applicable.---_---_-__kNSTALLAT10R_ANQ.CERTIFY I - WRITING ---------------------------------------------------------------------------------------•----......---------------- THE.SYSTEM_WAS••INSTAI.LED IN STRIA'... Agreement: ACCORDANCE TO PLAN. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System,in accordance with the provisions of iITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n board of health. Sig = ................................................. ......... Date A lication Approved B ---�----- ..... . _ ----- PP PP Y --- --...... Date Application Disapproved for the following reasons-------------•--------•-•-•-••---......------•----------------•--•-----------------------------------.........._ .......-•--•--•-----------------------------•------....•--------•--.....--•------•......._................-------•------•--------------•---• ..... ......------...Date.............. Permit No...... ...... _._ Issued_.. --••------•. Date < THE COMMONWEALTH OF MASSACHUSETTS (0, 1 ____.__�B0ARQ---0F HEALTH tom ...cpvv ..............O'F ::: ... ..................... Appliration for-Bitiposal Works Towitrurtiatt famit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Sys at:I . . . ' ' kJ6 " ..L .... .............. ..... .........7ocationAUf.s or Lot No. ..........e..... I................................................... . ....................................------------------ ..................................... Owner Address .................................................... .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..........i............:....................Expansion Attic Garbage Grinder ( 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( 04 Other fixtures ...............................r..................................................................................................... .......;....... Design Flow......5 ...............................gallons per person.&.e� day. Total dailyflow........S710 W —Liquid capacity............ .... -------------**------------".......5.9jons. 1:4 Septic Tank 1000gallons Length... ........ Width....41.... Diameter.............._. Depth.....__........ Disposal Trench—No. .................... Width................._.. Total Length.................... Total leaching area....._.__...__ sq. ft Seepage Pit No.......I............ Diameter.40.L,5 Depth below inlet_.!j�Q.......... Total leaching area.i��q. ft. ' Other Distribution box (Loer Dosing tank ( ) #1'? / Percolation Test Results Performed &-rllrl......... ................. Date.. . ................ as Test Pit No. I.....Zn.......minutes per inch Dept H of Test Pit...1.5�......... Depth to ground waten.wap.-f........ Test Pit No. 2................minutes per inch Depth of Test Pit..............._._.. Depth to ground water........................ ......... .. .......7.. ..... ... .;a............................................................................................... 0 De .......... . ....Description of Soil ............. ....................................................................................................... ......................................................................................................................................................................................................... Q ............................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable..........................I......I ....................I..................."I"111111111111"I" ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin 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 b n ss ed board of health. Signed-.( ...... ....... .. . ................................................ .......................... .. 61h Date Application Approved By................................................. .. . ........ /I 'V ,Date Application Disapproved for the following reasons:..........................................................................................................--- Date Permit No...........S,� Issued----1 .... ........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........(9��......OF..................................................................................... Tutifirate of Tampliana THIS I CERT-F Individual Sewage Disposal System constructed ()-oT-Ripaired That the Ind, by................... ioe5� ......I...... ........"......***............."*....... -------- ------------------------------*.......*------------ ---------------------------- -Installer at........................... ---------------- .......... ...... ..... ................... has been installed in accordance with the provisions of TIME 5 f The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-�._-& .....Z-.-7 .1.. dated......./.,/...Z.1.....�..,A!!.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR ED AS A GUARAJNTEE THAT THE SYSTEM WILL FUNC ION TI FACTORY. DATE.. ... ...... Inspector------.7 ........ ................. THE COMMONWEALTH OF MASSACHUSETTS -'X t BOARD OF HEALTH ........... ..................OP......... ..p No.� ... ............................................ ........................ FEE.S-Et............ Disposal orks Instrudiott famd Permissionis hereby granted.. P!........ ....................................................................................................---- to C&nstrucLtj(jt-6r__RTir " an IndiNidual ewage is sal �ystem atNo.....................................................M. ..... ............................................. y street as shown on the application for Disposal Works Construction Permit DC1,A_15;GL D ted..... 18.(0......... ....................................................................................................... Board of Health DATE---------- .........�..c......................... FORM 1255 A. M. SULKIN, INC., BOSTON LOW & WELLER, INC. "Fiddler's Green Plaza" 714 Main Street, P.O. Box 119 Yarmouth Pbrt, Massachusetts 02675 362-6868 362-8131 Registered: George Low, Jr., R.L.S. Land Surveyors A. Paul Simard, P.E. Professional Engineers William G. Weller, Consultant August 7, 1986 BOARD OF HEALTH John Kelley, Agent Town of Barnstable Hyannis, MA 02601 RE: Lot 27 - Melbourne Rd. & Sugarbush Lane West Hyannisport Dear Mr. Kelley: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan. If you have any questions, please do not hesitate to contact us. Very truly yours, „a 1 Simard, P.E. APS; slpw cc r Ili ID, 44 i xf=Z> i qO : 1 rt 4 1 J U V 77& E7-Et�/L fLL r9PL tftL __ `__ e Xrsf rnr c�rou»d pra f1/ --- -a- M�}/l,'HOL � 0VE,eS TG7 L-J17`1.11A f rt��'! Ie HOA'.I�'. �,�'-`G�?LE ' I = /L� � �, t,.._.,- � � � � VE �' T:" � G,9L_E- :. l ` _ !p` P 9 P /2" OF t`:4L_:) E SCHED. 40 PVC, UU.E' �L L.tl ____.___. _ __�.. 2" of �3"- �2 a sherd s cn� t EOU??L, 7-0 5'EP-rIC �m!nrr urrI r per- �oo°t-) ..l a D A 4 UlST BOX a e a 6 5ur t!{ o 0 f t000 G,liL. S -7 � o ( Ucl. lG AJ —F = vim-' T ' 0LE_ L0 _ - -, P'� , Z B Z ,E00/-7 Hot.1.5E `� �� T � 4".E9 `�33 7-C-ST B'r': � o�_��_LL � \� i� : j>czs�r 1. R ,ri F L G7 tn✓ �'F?T G_U Gf�L5. FT Y' Dfa716/M TEaT H T �.Il� C'L�^ ! �"E 5'�" f~�GaL.E• c'� r1 l. . 19 C N P/ -r. s 1 D !n/119 L L CO, �5 - .3 Z J. f G, Pry B a-r-ror• I A/o 7— t E C�'1,.✓ T_7 G / ` i ----- :5 opt - 5H® 4-1/AI 0AJ 7-7-/! 6 P4- /C? ZD C>A2 � � � �—7 --x - ��ll./ Bra � 25a f-�G� 0 To -r"f-= BuIL.DIA,1G ,5E7`- - -- SNaiv' T � vc.^Y' OF' - rvERErr '= HINCKLEY No. 1787 EVERUT H. 1, HINCKLEf , "I 31230 0V w r 1 V 6.� t.._... t...... � �i ••" c> Prc=�od / t�� fec->rr EQO/� -/ti'?E.V ' r4 Or, rC,;) /ram - r - -0 r-a '!- t / 13 0,,q,2ED ol= f 7 t fr..