HomeMy WebLinkAbout0018 SUNNY KNOLL DRIVE - Health �� .a� �� �0� � 30� J �iq
. t 0-
LOCATION SEWAGE PERMIT NO.
VILLAGE
INSTA LL.ER'S// NAME i ADDRESS
8 U I,L D E R OR . OWNER
DATE PERMIT ISSUED
& 3
DAT E COMPLIANCE ISSUED/�3`��
,.
�' /��
r
i
c-
-`
,�
i
1 ���
__..�..�
No......80-.._...1 . Fs$.l...5..00..........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
........................T.own.......O F.........Barns.table......................................................
Appliration for Dhipaml Workii Towitrurtion rnmit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
18 SunnYkD.gjj.Ra:.....Hyami.2....MA 426Q�
.. ...S --------------•------•--.........--•-------•--•---.........----••...........---
Location Address or Lot No.
NG Hina leung•-•.............••-•....--•-- .....------ 18 Sunny-knoll..Rd..,...Hya s.�.. -�2601
---- ....... .......---
Owner Address
W A._.. ...Cesspool-_Service.............................................. 128_•Bisho�s••Terrace•,-_•Hyannis,._MA 02601
......................••-
Installer Address
Type of Building Size Lot..... ...................Sq. feet
Dwelling—No. of Bedrooms............�J............................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type T e of Building No. of persons...............2 Showers
Pa yP g ---------------------------- P •-••------- ( ) — 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.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
W
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ---••---••••-------•--------------••----••-•----••••-•-••---•-••---••-•••••••-•-•-••.........----•...:•-------•....•-••----•-•-......•.............-----•••--
ODescription of Soil---------------•-----.......9and....................................................................................................................................
x
U ••••--------•--•---•••-•-••••••-•-•-•-•-••------•--••••••------•-----•••--•-••••-•••-••••-•-••••-•-••-•--•.............••••••---••-•............••-•-•...... -•••-•••----••-•••--••---••-•-•-••••••••••.
W
---------------------------------------------------------------------------------------•---------------------------------...----...------------------------------------------------------------------•--
U Nature of Repairs or Alterations—Answer when applicable. .t.alla.t7._on...t)f--a_.1.,.D.gO_..gall_Qn.._.pxe-C.aSt
stone._pa.cked..leach..Dit----Coverflow�........................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'i L
p 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 boarA A 110h.
Signed ..........
Dat
ApplicationApproved By•---------••---•••••--•••••-•-•-----••••••--•-••-•-••-••...............................--••--..... ...........11/ 80
Date
Application Disapproved for the following reasons:................................................................................................................
--•-•-•-•-••••••-•-••-•-••••-•••--•----•-•••••--••-•-•••-•••-......-••-•••--•---•........-•••••••---......-•--•-•-••••-•••-------••-------•-••--•••••-•---•-------------•••-••••-----•---•••••--••-•••••.
/ / Date
Permit No...80-................................••--••--•.---- Issued..................11`--3!80
Date
�44
No.....80- . 1... FEsl...5.00...........
.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................zown........OF......... 43=. tab1e..................
Appliratilan for Bi-gVvii al Works Tongtrnrtiott rivratit
Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal
Systenm at:
"A....00601----------- ------------------•----......------------•-
Location_Address or Lot No.
NG_Hing.Teuri ... 18 Sunnyknoll•Rd.....Hyannis,•--°A:....02601-
.............
•-_....
Owner Address
W A & B Ces o .. Service _--••••••_••••••••••-----•-••••••••--•••. 12 -bishops Terrace-t_Hyarsnis, N'A o2601
Installer Address
PQ
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.............3.............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of ersons______________2 Showers
� �,, g ---------------•--•--------- P --•-------- ( ) — Cafeteria ( )
QOther 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.........................................
a
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------_------_..........
W ---••-----•---••---•-----•-•----•--••-...--•----•--•---••----••-••---.....••----•.........................•------------•-••-•--•-•-•-•-•--•---•-•--•---__-•--
ODescription of Soil..........................aaad....................................................................................................................................
x
UW ................................................... ................e_.__._... --------------'.....................................................................................
Nature of Repairs or Alterations—An wer when applicablel>'>atallation-_of_a,-1•,000-• ;a11on-,-•_pre--cast
stone--packed••leach--pit---(ovprfw -.
Agreement 1-1�
The undersigned agrees to install t�e afore&e ibed 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 the boardpf h th. .
; _1_l3!�.............Sig eci ' 1/ 0
e // P
ApplicationApproved BY..........................................................=....................................... ii/ 3/
Application Disapproved for the following reasons:-------------------•--------------------------------------•-•---•----�� Date
---=--•-••---••-- ---.......__.. 1
•-----•---•---------•---•---•----•-•.............•-------------•-•-------••-----------...._..-------•----...-------------------------------•-•-----•;----------`=---------------------------------•-----
s0 l / 3/80
Date
Permit No. - Issued ' '---------------- --------••••••••••--••-•-•-
THE COMMONWEALTH OF MASSACHUSETTS 1,
BOARD OF HEALTH
Town OF Barnstable
.....................................................................................
(9rrtifirate of Tampli- anrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by A LA... Ceespool-Seryicex--]�2 -bishops_-ierraceA_-Hararu�is --MA---02601••-••? 5-626!
Installer
at 18:_Sunnyknoll-Rd.1 Hyanrxis,_• i�IA 02601-_•_-•-NG__Hind_i eung•_-
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit'No.-80-............................... dated._11I_.3180
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. _
DATE....................11/- VA ............. •-----------•---- Inspector....- .......................................
THE COMMONWEALTH OF MASSACHUSETTS
r�
BOARD OF HEALTH
Town ....OF.-. Barnstable
so- a ......................................................... 5.00
No. ...........�..�t `� FEE....................
Rapmttl Works T-Paanstrnrtion Prrutit
Permission is hereby granted_.A_& B Cesspool Service, 128 Bishops Tezxace, Hyannis, M OD0601
--•---
to Constr ict ( ; ) or Repair (X an Individual Sew gge Disposal System
at No.._1 Sunny Rd. , Hyannis, 1`A-•__02901---- NG Hing Teung----------------•--•--
treet
as shown on the application for Disposal Works Construction mit '" �.: _____ Dated_._1�:�._3� ......................
y - -•
Board of He h /
DATE. 11/ /3/80
r
� TF aK
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
,X