HomeMy WebLinkAbout0079 WAYLAND ROAD - Health 79 pb�'i6 d., µyam::
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�OCAT.I SEWAGE PERMIT NO.
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I N S T A LLER'S NAME Ap ADDRESS
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6 U I L D EIII OR OWNER
DATE RMIT ISSUED
DATE C 0 M P L I A N C E ISSUED 0r�,�
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...............Town.................OF...........Barnstable---------••-•-•--•-----....--•••........---•-
Appliption for Eliopoii al Worko Tonitrurtion rxmi#
Application is hereby made for Perm to Construct ( X) or Repair ( ) an Individual Sewage Disposal
System at:
manna r~
.. -.....Lot_. ... ... ............ H - B 1�A ...........................
ocati Add s or Lot No.
.......... ........................ .......?_65---Falmpth..Rpa ....HyA ls................
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Steve Lebel Owner Address
� Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms...........3........................... .Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building ranch
p� yp g _____________________ No. of persons___............._........... Showers ( 2) — Cafeteria ( )
Q' Other fixtures -----•......•-•--•-----••-•••••--- • .• •••.
Design Flow..........:...53 ..........._..__._gallon s per person e day. Total dail flow____._._.._:__ Q________ ___.......__ Ions.
w y1000 8�6" �.•1 n
WSeptic Tank—Liquid capacrt ,_----...--.gallons Length.__-'...•_... .: Width._.__.._..0_.. Diameter................ D'epth__5__8_._..
x Disposal Trench—tNo .................... Width..................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter....6.1............Depth below inlet....6............. Total leaching area.....266....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed b .....Bldred e...Engineering Date..Iln2_ _•-81.............. r
Test Pit No. i.�.!2� .minutes per inch . Depth of Test Pit .._ 2�....... Depth to ground water.none...ancounte
44 Test Pit No. 2....._I....._minutes per inch Depth of Test Pit____�A___..._.. Depth to round water_.__
N-A P P N--••......... P g XVA...........
Descriptionof Soil..................Q_ .:__-...2••••-------�=..&...tG teLau------------------------------------------------------•-•---•----......----•----
x
2---•-•"•10..:_....mec ..y0 atr2_-Sans . :_....--•--------------------------------------------------
- 1/na__.secater_.at 12
t
W ................................................... -- ------ ..w2� t---- ----n- --tr..cet. gm3re
U Nature 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 A.
TTI-E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been is ued y the board of health. -
Signed 1; . _ Z................
Application Approved By---••--. -•--••-- ---- �i/-, -- ...
Date
Application Disapproved for the following reasons:.........................................................................................................
---••-...•-•••••••--•-••-----••------•••.....--•................••••••--•••••---••-•••-•--•----•-•-------'•--••••-••----•••-••-•---•--•----•-•--•--•••-••--••••••••-•••--•--•--•-.... —--•--•-••-•-
Date
PermitNo......................................................... Issued•......................................................
Date
No.....8 t:_'-V AP F>cs........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
...................................:......O F...........-..........-..-._.......__..--------------------.........-.....................
Appliration for Uiipnattl Works Towitxnrtiun ramit
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
Systenuott # H'
yannis., MA
" Faut = HnCaprcorntydralrust 7b5 s
- ........ __. ------- ------- --------•-------- ---------------------
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- Installer Address
� . Type of Building 3 Size Lot__________________________S q. feet
Dwelling—No. of Bedroomsparte-h.................._..........Expansion Attic ( ) G bage Grinder ( )
'4 Other—T e of Building No. of persons____________________________ Showers ) — Cafeteria
04 Other94 ures
...............•----•...•--•-•--•-----•--•------•------•-•-•---•-__----
w Design Flow................................ per persor8p%day. Total�ilk�°w............................................ 18ms• .
9 Septic Tank—Liquid capacity............gallons Length ................ Width................ Diameter................ Depth................
Disposal Trench—V. o..................... Widtg'a.................. Total Length._____..___.____ Total leaching area--------26 ...sq. ft.
Seepage Pit No_ ___________________ Diameter.................... Depth.below inlet....................:Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing 91��eage Engineering 11-25-81
Percolation Test Re ts2.0 Performed by............................................. t_________.________._.. Date_________________
12 none----encounte
Test Pit No. 1....N/A...minutes per inch Depth of Test Pit__.N/A......... Depth to ground water..._..-./w_________- @
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
ao 21-------- t=-g----to�s0t2:______________________________________ ___
Description of Soil-•-----•-•=-----•.2.l..: -•1�}�-•----medium--ye- low...sa'nd---•--------•------------=---------------------•---•--•-----------..
w •--••-............................... :.---14-e---•..---}2-1-------meet-:...white---sand f-traced--•o-f--gravel/na-water-at 12'
x -----•••••-•----------------•------••••---•-•--•-••-=---------•-=•••----•••••----••••••--•-•--•••-•---••-•-••••---------------•-------•----•---•••-•-----•-•--•---••••--•-•-•---••••-•••---------•-•----
U Nature 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 TTIZ 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 board of health.
Signed.
Date
Application.Approved By- �'""' -----------•-•••--•••--••-•••-••--
Application Disapproved for the following-reasons:-----•----------------•---------•------••-------------•------•-------------•--•------=----••-•--•--------_...._
.......................................................------------•----------••-•...............•----------------------------- --------------- --------------------- ...............................
Date
PermitNo......... ...... Issued.----...------------------------•--•--•---•---•-----••-
- - Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town ..O F........... Barnstable
........................................ ..-..........-..-...........
�rr#if irtt� of fl�unt�fi�nre • •
THg;t �OLCe%JIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( )
by................................................................................••••-••------•-••--•--•-•------•---_.............._-•--•---• - ----•__---••••••--•-----------------
Lot # Installer H nnis MA
at. -------- --- -==-•.. -==......... ..................! __.: ..------------------------------•----•-------•-•----•------------------'---------•---•--.---.._..--•---•••---•-•-
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,b' . ., ' __________________ d�ed-----•.................................. .........
THE ISS NCE F THIS CERTIFICATE SHALT. NOT BE CONSTR E® S A GUARANTEE THAT THE
SYSTEAeI 1All L FU TION SATISFACTORY. . ✓,
DATE..��• -- Q _. L.� ....... ----=-------------- Inspector...
li •
THE COMMONWEALTH OF MASSACftUSE S
BOARD OF HEALTH
Town Barnstable
a ?" 'Y ..... .......OF........... ..............................................................
Disposal er�s To itr i.on amit J
ebel
Permissiois hereby granted...............................-..............................................................................................................
to Construct Zt)!pr Repair .( ) an Individual Sewage Disposal System Hyannis, MA
tt�t
atNo.. -----------------------------------------•-•----•-----------------------------........_.......
Y 'r-.n ✓' Street
as shown on the application for Disposal Works Construction Permit No.______�__._._y___.____Dated..........................................
f •----- ram^''_;__/.};••-�'�ate % o eal--------•___--••----------••_______________
DATE...........................................�l_/JI_l� ---------......--- t v
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS -
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LEGEND YA'r
CERMED PLOT PLAN
(EXISTING SPOT ELEVATt-0 .
-EXISTING CONTOUR — O. —..�,� r q� L E ��
RNISHED SPOT ELEVAT.10N .f: r ra !-� iq-�!//Vf-s
FIKISIDED CONTOUR - ..° s 3 t
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.'APPROVED , BOARD . OF 41 ALT
-777777777,
:ATE AGENT ,. .fr ;titti j� ; E. t;.." SCALEi• '.:J 30 DATE, 9/17 6
.t1J� `I1GE ENGINEER1NO 1
�w I CERTIFY THAT THE PROPOSCO
1,:�t? '�UI1.67II�® S�®!�N t3�6 THIS PLAN
EGIsvERE RECIS'I°�RE�: E
CIVIL LAND x��hR�k ��� ��.
a ,�4 � °� ,• CONFORMS TO THE ZONING LAYS
E SI EER U VEY r E . CIF DA '-ASTAS E, SS.
712 MAI N STRE'ET .
HYAAIMIS, I�A$S. c F.
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