Loading...
HomeMy WebLinkAbout0050 TOBEY WAY - Health (2) 50 Tobe )'aY Hyannis A=246-82 �r 1'e LOCATION 0 SEWAGE PERMIT NQ. Y 11-1 A G.E I N S T A LLER'S NAME i ADDRESS P-oj�EQTC, Lchg� pwz e UILDERg OR OWN OR E: DATE PERMIT ISSUED DATE COMPLIANCE ISSUED -� Z I y .. Yc ran a� DEPT. Town Off L.i: 6 No2�a 6,02� SQUth.:Slkitat�, MA 0,2ZO4 - FEB....... .1 ......... THE COMMONWEALTH OF MASSACHusETTs BOARD. OF HEALTH ' ...................0- .........OF.......ow....... . ..... ................................. Appliration for Dig anal Works Tonstrurtion ramit 4 Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ................. .............. ... .. ............ ..... Location AMress or Lot No. .................. Zc ----- ........................... ....... -a............................ ............................... ,n Address CY 0 ..... .. ....... .,.7................ Installer 7Address - Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms..._.......................:......Expansion Attic Garbage Grinder 04 Other—Type of Building ........................... No. .of persons............................ Showers Cafeteria Otherfixtures ..................................:....................WW ................................................................................................ Design Flow........... -.......--...gallons per person per day. Total daily flow......... ..................gallons. Septic Tank—Liquid.capacity.th.W..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No.....A............... Width..__................. Total Length.................... Total leaching area...................sq. ft. Seepage Pit No........I........... Diameter.....a.......... Depth below inlet.....44........... 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........................ Test Pit.No. 2...........:....minutesper inch Depth of Test Pit..........._........ Depth to ground water........................ ........................................................................................................................................ .................... 0 Description of Soil........................................................................................................................................................................ -----------------------*-------1-1"1-*.............................................................................Z.......................... --------------------------- I............ ...................................................................................... , ;------------------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable..........`ice..-.............. ....... . .....n��. i W . ............E........... 9...�.V..tly...... ... Agriement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'L 1'L UZ. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant ha&4wen-4ssued by the boa d-�� D Signed....-... .11................................... Date Application Approved B G, .. . ...... y ----------- ------------------------------------ A...Date Application Disapproired for the following reasons:.................................................................I............................................. .....................................................................................................................7---------------6..................................................................Date Permit-No..............................:----------------------- Issued..................Date............................... J6 Ksrac j.__ No...�......-••��- S � �-- p�1 E Fss........�E��._....._ �N THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---f io�Uration for B ogttl Works Tonstrurtion rrntit- Application is hereby made for a'Permit to Construct ( ,)`tor.Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. . ...........:...... n Owned -y Address yr ._ 1�....G� c S. f PVVL,- c s• ...._....... Installer t Address Type of Building 1 --� Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.....' ._`i...... 1-----------------_--_-Expansion Attic ( ) Garbage Grinder ( ) " per., Other—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.4#: ?.gallons Length................ Width................ Diameter................. Depth...........:.... x Disposal Trench—No...... ............. Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No---------I........... Diameter......U......... Depth below inlet.....4.......... 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...................... . L=, Test Pit No. 2.............:..minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .--------------- -----------------------------------•---••--••••••-•-•-••-•-••-••--•-------••-••--.......-•-•----•-•-•--•-•............----------- -- ODescription of SoilV -=-------------------•------.........--••------•-------•---...................------••---••--------...........--••----••-•---- ................................ .------•---------------------------- -----------------------------------------•--•---- ..... -------------- =. ►�jy ...-•------------- ------.....----------------.----------------------------..........._._..-----•------•-----•---=-=-- y--•----------. - ................ U Nature of Repairs or Alterations—Answer when applicable....... N........... ............._.. �- -:. ...:�' .=tom .w.. .. Agreement: ,. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the, rovisions of TI'L J 5'of the State Sanitary Code—`The un'dersigried further'agrees not:to place the system-in operation until a Certificate of Complianc as-been-issued b the board-of-health Signed... L-- —.. . ` �' - vn.. ...._.... Date Application Approved. By----...`=�'"= .............. �J ...................................... ----.1./9f ^ Date Application Disapproved for the'f ollowing reasons----------------------------•----....---••----------.._:..--••-•-----------•----------------.....--•--.......... .........-•---------•.......................•--=-----------------•---------------•-----------------......_......------...--........:--------•--------------......----------------------------.....-•---- Date PermitNo........................................•--..........._ Issued........................................................ Date t p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................ ............OF............. ... ............................... . .....� (Irrtif iratle of Toutplianrr THIS�I�TO CERTIFx That the Indvidual Sewage Disposal System constructed ( ) or Repairedby........•-••-.... (.. �, (s .......................................... Installer a f r l� +1 has been installed in accordance with the p o isions of TITLE 5 of The State Sanitary.Code as described in the application for Disposal Works Construction Permit No. ._...-_- dated---.---- THE ISSUANCE OF THIS CERTIFICATE.SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM ILL FUNCTION-SATISFACTORY. DATE ........ Inspector _..,_ .A_�,.... _=� Itia ......' ... .................... .............. hAW/ �/�.. .. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH h ......... ...............OF :VO..... ...._.. FEE....1�•�.. Raposal Work Tonstrur#ion rrntit -�" Permission is hereby granted .....ie�� --•-------•----------------------•--.--.-----..-----------.-----------..------.-----. .... to Construct ( ) or Repair ( ) an Individual. Sewage Disposal System at No....... 1'-•-._ �E�(,{ - 1!�4/t �2,n¢_ - .vY. Spa ------..--•-- -----•--------••--•--........ ----------------•---......-•------------...-- .... -----•. _ I -) Street i as shown on the application for Disposal Works Construction Permit No.- ± • Dated....:..... �:!...1. ?. ........ •----------------------------------•-•••---- ----• _ a !T Board of Health DATE-----�y._ ------- :1--.....-----•-•-------------------•--------..... 83.00' Q h 266.06' EXIST.LLJ �- DWELL. m 0') 0 C)i PROPOSED 14'X24' SHED LOT -4 44,564 SFt U N 340.00' 4 DCE #08-168 PLOT PLAN SHOWING A PROPOSED SHED PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 50 TOBEY WAY WEST HYANMSPORT, MA ° SCALE : 1" = 50' DATE : JULY 21, 2008 PREPARED FOR: REFERENCE : ASSESSOR'S MAP 246 PARCEL 82 ANTHONY HALL PLAN BOOK 595 PAGE 19 I HEREBY CERTIFY THAT THE STRUCTURE- SHOWN ON THIS PLAN IS LOCATED ON THE r�N0FMgss GROUND AS SHOWN HEREON. % y>�P 9c � � T►MOTHY y� off Sob-362-4541 '� H. m I ,fax 506-3 0 - Idowncope.com.com o COVELL Owe cope eed neerind,10C. No.38035P civil engineers _ land surveyors _ Z. — ,jj4. 939 Alain Street ( Rte 6A) � � --- rARmoumPORr MA 02675 ' DATE f� RE 3 LAND' �VEYOR I r �) i G)�- Lt•,T. A-1 it ri 9 tw -%A OF rolA&,q �y MICHELE L '� �M� �+`� E►�• CUDILO p NO,34774 u: STRUCTURfiI_ ¢ ,o O i U , t) l aka77s � �,ao P•T• o� -T• Yl 1 � ate_ Coll, t Q • r X C. O � VFVI ss 1 . commqv O Z k z m C O C W02 � n C � O rn r Ue 1 3 _2.,c co P •T T n f � G � o � — Jc yx 2. x10 P T ® ° COMM d Otis � t r_- z n s W i �C .trQ rm W _ t1a c