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Home My WebLink About0055 WACHUSETT AVENUE - Health �s ��s� ��-; ��1 - -- a ��1 � o�� Y�a.I{fii it �i. r� � f,b No.$g Z.- ..........� .l. FIc$..�.........00.:: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p� o Town..........OF...............Barnstable.----------------•------------------........•-- f� Appliration for Uhipniiai Workfi To ititrurtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: _. Irving 8c-Wachusetts Ave.,___Hyenrli �ort_,__.0269.7 -- Location-Address or Lot No. _John ..........Taylor................. .. Ixvang...&Hachusetts..Axe.,..-4annisport�.,..A2147 ..... Owner .........................•---•-------• Address •--A--&--B--Ces . Service-------------------------------------•••. 12.. Bisho ------s.Ter ee.,...H3�a n1S..0 6.Q1---------------• Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............4..........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ___________________---_____ No. of persons..........3--------------- 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. Seepage Pit No--_-----_--------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other. Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................................................ a -------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p ...... and - - . -----•--------------•---•---•---•----.----....----------------- ------.----------- ..:------------------------------ . ...... ........... Descriptionof Soil----------------------------•--------••--------------------------------•--------------................................................................................ x ------- ._...--- V Nature of Repairs or Alterations—Answer when applicable.___installation-.of-a_-150-Q._ga],,,._•Pre.- azt-__--. septic tank and a 1,000 gallon leach pit with. extra stone___overflow.�................•_________________. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L?TL p 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 bo rd o health. nedl�l. =� = �` = 2122�80 - Da Application Approved By-•-•-__ ... /[/i. 12122 80---••-•---- ----------------------------------• . Date Application Disapproved for the following reasons---------------••------------•-------------------------------------...------------------------ a.t.e.............. -•...............••.......••--••-•-----•------•------•---•-•-•--•--•••-•------•••-•--•.......•-•----••-•-••••-••-----•---•••••••---••---••--•---••-------------•----••••••--•-••-----------••••----•--•- Permit No..80-------------------------•--•............--••-- . s ... .---•---22/80 Date- Permit ate 80....... Fmcl...5.00.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .Town..........OF...............a4m table-------------------------........---•---•------- Appliration for Di"viial Works Tomaurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: • Ir!! .. �ach>setts.A�te.._,...i�yazu�.i Qx- Q2f�7. .............. Location-Address or Lot No. .J_Qbnla3lgr................................................................... tix ,.8� elau�att�s..Aya,...ii taxini.s�zs7x ,..Q2 k7 Owner Address a .... .....B..Cesspool Service---•-•---••----•----•--•--•-•••-•-_•----- 128••EishoPs-•Te _ge_,.__HY->An e•_02601--.....----•---- Installer Address QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms....___________� ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons..........3............... 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................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date...................................... Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water_____-_-______________-. Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ a •-•-- .... ----•••-----•----•-•---•-•-••••--•-•-••••••----•--...•-•--•--••--••-------•-•-•-•--•--•••......................................................... D Description of Soil________________ a.nd__ _ -------------•-----------•-----------------------------------••-----•---•----•••---••------•---•-•---•-•---___..._..__...__. x W VNature of Repairs or Alterations—Answer when applicable.___ l sue 18t3on--of--a- septictankanda �, Qg l�.Qt....... -- � ..ext,=..at9re__(ae r1 00o--g)a-*-l---.------i--r---e------C--a---s--t--•-•------- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'IT'p 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 bard o,health. neap -1 =-1-�2122180 Application Approved By______ ..........12 f 2at 0 Date Application Disapproved for the following reasons:___.__ ...................................••-----•-------...-=-------------------•--•---•------•--•-----•-•-----I-•----•---•---••--•----------------•------•-----•--••••-------••-----------•-•--------•..--••-. Date t30- 12/22/80 Permit No. ••--• .._....._ Issued ------•----------- 1 ..--•--.....---• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............T own................OF................Barnstable ................................................................. Trrfifirtttr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x) by_A_&_B Cesspool Servigej--128 Bishops Terrace, Hyann3s,� NIA 02601 ........................................... Instal er at_._._yrving & Wachusetts Ave., Hyannisport 0- 64� ' John Ta ilor has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No80'_.,_' .___ __�`Y'__9_.____ da.ted__............12/22/�0 THE ISSUANCE.OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........12/ 8� 0-----------------•---••------••---------•----•---- Inspector_..--- -••--•---•------�� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 80-7 T own................O F..-.........---------•--.Barnstable.--......._........._..__...--..................... No.............Yd.... FEE.__-... .00....... Diapooal Vorko TIMnatrurtion rrmft Permission is hereby granted.........A_.&._B__CesSpOol-_Service to Construct ( ) or Repair ( X) an Individual Sewage Disposal System iz�rin & Wachusetts Ave. H --nnis ort 026$ John Ta for _ at No. Ya._..... p-----�--,---• -- Y_ _ Street as shown on the application for Disposal Works Construction Permit No._8Q'__________ Dated...1?/??/§O.......... - 12/� /80 >Oblad of Health DATE................................. -----•-----•----= ---••---••-•-•••---••--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS t