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Home My WebLink About0030 ARBETA ROAD - Health ( Y 30 Arbeta Road Hyannis A - I i -R LOCUTION ' SEWLSC�E PERMIT ^tJO. �,`? VILLAGE IhJ TILLERS U&ME ADDRESS BUILDER 5 Q &M' F- UDDRE SS DQT PERKAVT 155UED D ATE COMPLI &MCE ISSUED : - � d � �� -fi r � . i �� .+ i .u� •� n - r� c.,� w _ _ .o r � i ... I 4 No.........4? •-••-• Fim.... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 6 ,�...... OF........ .. ... - /r - � � Appliration -fur Disposal 19orkii Tomitritrtiuu Vrruiit Application is hereby made for a Permit to Construct ( ) or Rep�a°ir ( ) an Individual Sewage Disposal System at ....17.......kk0 ✓---.. .._�/./_ r-A...Pt.........../1- _. _ /. Location-Add s or Lot No. .............•••-----•- ....._ Owner A ress Installer Address " UType of Buildi g Size Lot.��.3l�L .......Sq. feet Dwelling o. of Bedrooms.................3(. --------.__...--.-__-Expansion Attic ( ) Gdrbage Grinder ( ) a4 Other— ype of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtu es ................................................ W Design Flow------------------ ----0:..:..---._-.---gallons per person per day. Total daily flow......... ....................gallons. WSeptic funk—Liquid capacity.}.0- ,illons Length................ Width................ Diameter................ Depth---------------- x Disposal Trench—No- -------------------- Width-__----.-.._--_-____ Total Length.........._..}}''---- Total leaching area.. .____ __ -------sq. ft. Seepage Pit No....9'V��.. Diameter__ .... Depth below i et_____ ?�Q l 1;15 (6 ------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) d ��C c el� — Z- 2 " -7 Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_._-.----_.-_---_-_---- ------•----•-----------•----- --- ....... -------�" ------------------------ O Description of Soil.. Q ........ 2..._... 1�.-l✓J. x ------------ �- <('' .. . x ....----•-------------------•--------•--------.................------....------------•-------------•-•---------•-•-.......-----•------------------------------------------------•--------•-•-----•--.--- V 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until.a Certificate of Compliance has been i ed by the board of heal ` / Date Application Approved By........ .._ .. -- .-•-• Date Application Disapproved for the following reasons:...............................................-----•--.......................................................... ...........................................................•--...---------•---•--•--•-•--......-------•-----•-......---..........._...-----------------------...._.........._.............---•---------- Date Permit No. -------- ,_ •. __:_ Issued a — - Date �. rF' ✓ -No....... .:.. ... :.::. t Fag.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i `, _,,r~. V,............0F........�/. > / J rl ,J ................... Applirtttiun -fur Biopuuttt Works Cnunotrurtion Prrutit Application is hereby made for a Permit to C....... onstruct ( ) or Repair ( ) an Individual Sewage Disposal f g 14 System at f� 1 / ..........-/,•-�-------------------------------- . .. .........../Location-Add s �•J r Lot No. Own ress Q ��, ......•-------------------•- ---------=-=.... I w ........................ Installer Address U Type of Buildi g Size Lot. M-34?.......Sq. feet Dwelling No. of Bedrooms--------=---------------------------------Expansion Attic ( ) Gdrbage Grinder ( ) aOther— ype of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria'( ) Q' Other fixtu es ...................................................... W Design Flow.................C..C)................gallons per person per day. Total daily flow.........3.&—&....................gallons. WSeptic Tank—Liquid capacity-J. allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length_....._........._.. Total lea ine area.. ..........sq. ft. Seepage Pit No.... Diameter..!—_... Depth below i 'et__--g Oal�o1> ig.ri � sq. ft. Z Other Distribution box ( ) Dosing tank ( ) G -� �� aPercolation Test Results Performed by.......................................................................... Date..................................... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water........................ Lam// Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground wat _ W .................................." ...............................---...._......!..........---........1.-..... O Description of Soil----------------Q....— l ,....... ....I�.. -----= --- - ---- ---- ----------------- --- ------------------ - x C.��-_P W U. U Nature of Repairs.of'Alterations Answer wfien applicable.................:.......:...................................................................... ...............................................,.....:....---------�......---------••-•---••-----------•------...........__.....----....•---•-••.......••-••---•---•..........-•----•---------------.... A reement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article ;Q f the Sa to Sanitary Code—The undersigned further agrees not to place the system in operation until a Certific4te of Compliance has been i ued by the board of hea ,Sig ed.....;�--• +- ` • •-•�•-��-- •- - - - 144;�r,2----------•---.-.•.---- Application Approved By---------..,l ... .._ - -- ---- ---- ------- Date Applieation.,D ksapprov�edjoy tlie;following reasons;;.;::.................................. .......................................................................... ................................................... .................... Date � F . ...... ,-1 r 1 tr msued-------------------------------........................ .. u �..sap! x$w `,"ti•�y�.t.. . r.,. .'� �;,,,r r r,,��• , Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....70 jf/.................OF........1 � . .E .. ....�,�y :.. .......... uprrtifirtttr of Tompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) r/^'� Installer j�� has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. :qvL._.... ..___._._. dated.... d._:�... i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. DATE-------- ------------•--" �-- e--------•--------•. Inspector. ---- - `'s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH y �. ........................OF........... --------------------------- No.... ••-••--••••-•• FEE........................ �i� o�ttt Work onotrurtiuit rrmit °� Permission is hereby granted----------------�u ....1,!2.................................................................................-............... to Construct (for rair a/ divid�u Sewage Disposal System stem at Nox -•------- /�---- ... ..........•-•-----. ..-------•--•------........-......--------....._...........-----......----•--•--...... Street as shown on the application for Disposal Works Construction Permit No --------- Dated---------h,92:._7>i1_.......... / ------------------------------- ---- - ----: .....�- ---------------- 76 Board of Health t DATE "'.)))"`...............................................•-•-----•-••-• •- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r. '�• p7 1 ; � a 4r, ' .,x' *''sue. � 'f4L or [ � -�„7 '";a �v^ - Vr-y r , ... 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