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HomeMy WebLinkAbout0050 HARBOR HILLS ROAD - Health 100 PC roof f-(i I1 2d KS MEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAIOFMEM NABIE MIN.RECYCLED y INITI ME CONTENT 10% CerifiedFiberSming POST-CONSUMER wwwsfipmgmmmp mi2m ME IN USA GETORGANIZEDATSMEAUM • N.- No.... �-..,�i.. Fx$..... 5...00.......... . I THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............. ...T.wn..........oF............Barnatable............................................ Appliration for Diapoti ai Morkfi Tonstxnrttun ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal Sy tem at: 1 -[0 Harbor Hill Rd. We t H a i 1... .............. ...... .....sS .? I24 i.,........... ................------•-••----....-----•••--•-•-•------•-----•-----•••......•................-•--- Location-Address or Lot No. Philli. Genatossionna.s�axt.........--- ..... Owner a Address A .. B Cesspool Service.. _. ._ ,�_ ;�Q ,_Installer Address dType of Building Size Lot-------------------- -----Sq. feet U Dwelling—No. of Bedrooms---..-3-----------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa, 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. W Septic 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 ( ) aPercolation Test Results Performed by..........................................--•----••----------•-•••----•-• Date........................•------------... ,a Test Pit No. I................minutes per inch Depth of Test Pit....--..........--.. Depth to ground water...................... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------................ Description of S gEd --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- w V Nature of Repairs or Alterations—Answer when applicable---Installation.-of--one---(l)--F2.o-wdifussnr...... -••------------------•------•-••----------------•----------•-•-------------.........-----------•--•----•----•----------------------------------------------------•-----•-------------------------•-• .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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. a Signed.... u-r �. 9/11/79-- ------- .................................... /Date Application Approved BY......--�-�=--- - •- .......-91a-�-1-79................ Date Application Disapproved for the following reasons------------- -.........................................................................Da.-----•--------- ------------------•-•--•-----••-....----•••-----•-•----•-----------•--...---•------------••--------------••-••-•----••-•••......•---- ..................------------•••-----••-----•----•-•---...•••--- Date Permit-No......-i9 .......................................... Issued_.......9111f2.9................................ Date - {t n 11 29 67!�1�7 1 LOCATION SEWAGE TMIT NO.D / 1� VILLAGE 1NSTA LLER'S N ME i ADDRESS A S UILDER OR III ER DA T E PERMIT ISSUED DAT E COMPLIANCE ISSUED V� V A , Ilk .� AIL No 7gAm+ _.`1.. Fz$...... ©Q......... g; THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH ! : n.........OF..............al!Jistatie.... ......................... ,� It tttt�an or hipwiFat .arks 'Tunotrnrtiun Vamit , Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal `5 Hasbo .......... .....................................................Ro.......................................... s Location Address or Lot No. Phillip Genatossto ................----__.... ...54_.i b© _ �.1.:�S�.r..Raid..l?yan ijapn ............ , Ow net Address A•`..--B-.C®sspool ;..er.►3c.......................................................... 28._ ...---...----- M Installer r Address r a]i Type of Building Size Lot___________________________Sq. feet :. U Dwelling No of Bedrooms._____3...................................Ex Expansion Attic g— p ( ) Garbage Grinder ( j Other—Type of ________________________ No, of persons.______._. _____.__._____. Showers a yP ( ) — Cafeteria Otherfixtures r .--•--•-----•----•--••-.._...-•----••---•....----•-----••-•-------------------------------------------------------------------- W Design Flow............... gallons per person per day. Total daily flow............................................gallons. W x Septic Tank—Li u' P Length _____-____l Width—............. Diameter,,_ .___..___.Depth--,: __.. ___ Total leachin..area._.__ sq.-ft.Disposal Trench Width Total Ungth................. Seepage Pit No.......... ete�--•---•--- ------ De h below ____________________ Total leaching area..___.___..._, __sq. ft.-- pt A Z Other Distribution bo"If, iti) w,�X Dosing tank W Percolation Test Results tP fl?erformed by.......................................................................... Date......................... Test Pit No E 1 +�Iy ' ;rrllnutes per i nch Depth of Test Pit____________________ Depth to ground water......................... L=. Test Pit No 2 itiinutes per inch Depth of Test Pit____________________ Depth to ground _water--- r , ✓ ---------------........................................................ O Description of Soil r x 1 ...........................•-------...----------•---------------------------------------------•--•--------•---••---------...... .....__. Y . , 5 U ........................................................................................................................................ ............................ .. \ ............................... . U Nature of Repairs or Alterations-Answer when applicable.___Tr18ta1],a-.1 _oP--U21e---IyI-)•-•I+'lOWd1 ©z.-- F 2 ............................................................................................................................. Agreement: The tndersigned="agrees.;to 'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i141.11 5"of.the'State Sanitary Code— The undersigned further agrees not to place the system in `S operation until a Cert ficafe nf4Compliance has been issued by the board of health.` y ' r Signed. .l- :: � s.:�� �rl..�'` t t � 4:� �;. %. 9111/71........_ Application A roved B 9-1,P'� PP PP - r!, 1..� 1:-T� { --------r -------------- Date Application Disapproved for,<the`f ollowing reasons:............. --------••---------------•-----------------------------------•----------•---- 4 Date Permit No 7 _ Issued. 9�11�79 � R - •........ ••. .---•--. k Date .k 1 THE. COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstabale N ....................OF..................................................................................... i t . Crrrti�irtttr of f�unt��i�anrr THIS TO CE T FY That t ;vi ual Sgwa e Dispo al S s em str tod ( ) or Repaired ( X) bA Sc es8poa ez 9 Ce 1981 sgo l errace, Hyans, #° E�Ol y -----------------•-• -•------.....----------•---•-••........----••......--•-- •....••-•------...-------•-....................-•----•--•-• y 50 Harbor Hill, Kest Hyannisport LIL t'AAllip Genatossio :. at........................ ....................•. --- ---•••. --••---•------.....•---------------------------••----•--------•---•-------•---------••--•---•-- has been installed in accordance with the provisions of Tf — 5 of The State Sanitary c e escribed in the application for Disposal Works Construction Permit No-------------- _ ....--_--__ dated. ..__//-__._.................................. THE ISSUANCE;OF,THIS-:CERTIFICATE SHALT. NOT BE CONS RUED AS A G ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE._... `:. .............................. Inspector.... ----e---••--•------------•-•----- n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town O F Farnstable No.. 79�`. 1 $5.00 FEE........................ t �raY a1 nrka Tnntrurtian Prrmit Permission is hereby gra'nte A & B Cesspool Service, 128 Bishops Terrace, Hyannis •----------------•_---•-----------••---.__-•-------------_--_--_-_---•-----------------------•-----•-•------------..-..---------------- to Cons or i ' n ndividua1 Sewa e Disposal ,SS t at No j�` l rt�or es t�,yannispox -- r✓ 11ffp Genatossio -• .......................................... .•-•••. ....------. ------------•--------•-------•--•---••---•••---- p r� .......... Street 7/1 /(9 as shown on the application for Disposal Works Construction e it Dated.......................................... OV d � Board of Heal; DATE......... . l.` . '......................................... FORM 1255 HOBBS &�WARREN; INC.. PUBLISHERS -