HomeMy WebLinkAbout0050 TOBEY WAY - Health (2) 50 Tobe )'aY
Hyannis
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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 -�
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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'
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h 266.06'
EXIST.LLJ
�- DWELL.
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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
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Idowncope.com.com o COVELL
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civil engineers _
land surveyors _ Z. — ,jj4.
939 Alain Street ( Rte 6A) � � ---
rARmoumPORr MA 02675 ' DATE f� RE 3 LAND' �VEYOR
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