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Home My WebLink About0178 WALNUT STREET (HYANNIS) - Health / 1 LOtCATION SEWAGE PERMIT NO. zo`"revg' erxr- .1/O - 35/U V I L L A G E e !-X10-4 Gce-�er lla? INSTALLER'S NAME & A D D R E BUILDER OR OWNER DATE PERMIT ISSUED 7777 DATE COMPLIANCE ISSUED �� I .,� - , 4 �p � , a �a ,o ® �o oZ7 e •0.1 p0b oar q , c to "o' •j � t39� ° 11 � 0 3� 3�'� �' ��•s ! � i` 0 �, "� �, U � 6 � �, V�. �Ci ' �;�'�i � Q 1 No......................... Fxs............................... THE COMMONWEALTH OF MASSACHUSETTS oil BOARD O HEALTH G ........OF.......... ... 1 .. Appliration for Dig opal Works TonstrZ- an ' •n rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal System at: -� . e e% ... ..... ......... _ . . 'J.�.. ------ ........ ...... -- - ,� - --- Add or Lot IN a . /.. wn�l�d"/r/Isll. (�'►��r�"�' s] �/ •- ' -off'�Ad¢ress.�� ! �..:':.:`:i�.._./�. ........... . ............ _ _..........3._.. `�'..._.......... ......... ..... • (y PQ Installer Address 1� Type of Building Size Lot............................Sq. feet V Dwelling'—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) ►-� Other—T e 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............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .......... ....... Wid�yyth� ......... ........ 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 - . ---•- ....-----•------•-------••-•......................•. ODescription of Soil------. ---r-�.�... _.... ---•W.--- -----•------- ---------------------------------•----....------------------------._.........-•--- "� W •-••---•----•---•-......-----•--••••--•••-------•-••-----•---------•---••---•-.....-••••...------•-•-----••••------------••------•-----•---•-••••--••----•••------•••••--••-•••-•--•••••--........•••••. VNature of Repairs or Alterations—Answer when applicable............................................................................................... -------••••-------•••---••-•-••--------------------------••----•••-••--•••---•---------'----..-----•----••----------•-•---•--••-----------......--•-•--•...•-•---••-••-••-•-------------••---........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b su,d by the bo• d oV.1,,e.,IthSigned. r' I✓t. ia�... ,� 7.... ...�._. J ................. Date Application Approved BY i� ( •....._... � ---•---•---.. .�.� 7 � Date Application Disapproved for the following reasons:--------•---•---------------•-------•---------------------------------------•----------.=- ------•--.......--- ---------------------------------'...-•----••--•---•-----•--••---•----.....-•---------.........--•.......I. Date PermitNo......................................................... Issued.-.. 1 Z-- -•---...........•......... Date. r No.._---- FRic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD A HEALTH ------OF.......... ..................------............................................. ." xv.ptirdivulfor DWposal Works Tomitrartion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: _41j ...................................................................................... ................................................................ ................ Loc'ation-Addie�'s _/ - 1 17" .......................... ....................................... .....................................................I............................................ oy�j p ddress , V Y,Own&'a ( -Vj 6,11 (��.C 0�3 ,r . ............;...................................=............................................... .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms______________________________-_-_---------_Expansion Attic Garbage Grinder 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............gallons Length________________ Width__.___.___,__._. Diameter__.___________._ Depth................ Disposal Trench No. .......!f....... Widths_............... Total Length____________________ Total leaching area---------_--------sq. f t. Seepage Pit ..... Depth below inlet.___.__.___......... Total leaching area..................sq. ft. Z Other Distribution box- J Dosing tank Percolation Test Results_511'.Ii, -4Performed 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._.__..____.___.___._.._ --------- 0 Description of Soir,......_ VV_.A_..a.-.------.v.--.-.-----_.-.--..--..-1.-.-..--.-c-.-.t.--..-.-.-�-.-.-..-.--.' ..........................................................................................o............................................................................................. ------------- ....................................�!N............................................................................................................................................................... VNature of Repairs or Alt6rations_1`4�Answer.1.when applicable................................................................................................ ....................................................................................................................................................................................................... 9 A reement: The undersigned agrees i io.,-Jilstall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate*:'Of C.9Mpliance has been issued by the board of ehealth. ASigrie -------------------------------------------......... ....................... .... . 77 -Application Approved By....... ------ --------------- ....................D..a..t.e............... `,Application Disapproved for the following reasons:................I ................................................................................................ .................................................................................................... .............................. .............................------------------------------ Date f PermitNo........................................................... Issued_....................................................... Date THE COMMONWEALTH, OF MASSACHUSETTS BOARD 0 HEAL # . OF . ........ . .......... ......................... rdifiratp of Toutph'aurr TifY T Y e'�de A Sewage Disposal System constructed or Repaired by... .... ... - ....... ............ ....... ----...----....'------y- 1 y ............%,--------------------------- at................... ................... ...................................................... - ---------------- -------------------------------------------------------------- has been installed in accordance5.Qf The State anitary.(�de ;V,de,�ribrd in,the with the provision"s of TIT I application' .........for Disposal Works Construction Permit No............................... ..... dat0 -------------------------------------- THE ISSUA*CE OF'TH I IS CE,RTIFIC ATE..'SHALL NOT BE CONSTRUED.At A GUARANTEE THAT THE SYSTE.1i"WILL 41UNCTION SATISFACTORY.�-, DATE.... f......./.I............................................ in'Spector................... . .................................. 7 *anita THE COMMONWEALTH OF MASSACHUSETTS BOARD red OF....... ................. ........................ No.---....... .._..... FEE........................ 1AA." [Ertl' . .Per'mis o hereby grant .. ..........1� ..................... ....................................................... ................. to or an Indi�vdja Sev;j y ........................................ ...................................................................... at T ...... ------ .. .................... ........... Street 7 FF11 an as shown,-on..the application for Disposalsks Constructic n mt a Z441..a....l.e.................................... ys� --------------77 - ........................Board of Heat DATE:: .................................................................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS