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Home My WebLink About0022 GENERAL PATTON DRIVE - Health 22 General Patton Drive Hyannis' A= 292 - 109 LOCATION : 5EWACaE PERMIT UO. VILL4 IMSTALLER•5 W&ME ADDRESS 5U S Q A E A D E SS DATE PER"17 155UED I DATE COMPLI A 3CE ISSUED ; No.----'{ •• -----• Fic$....;................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA TH .... O F Appliratiun -for Dhipviial Evrkii Tontitrurtion Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal Syst at ------ ------- -------- -- ------ ------------------------ ------ d. f............................................. t ci ion-A ress or Lot No. w caner Address i ._ - 2, Instal er Address Q Type of uilding Size Lot............................Sq. feet V Dwelling—No. of Bedrooms__.__---------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _____________________-.____ No. of persons.---•-. ______-__.-_--.-_ Showers ( ) — Cafeteria ( ) a' Other fi. es - ------- ----------------------------------------------------------------------------�` -- -------------------------- w Design Flow---------------- _--_.__"_______________gallons per person per day. Total daily flow.......... ...:. ._-..gallons. WSeptic Tank—Liquid capacity------------ h _ _ _ _gallons Length________________ Widt .._.. .... ... Diameter_----..:_ ._-__ Depth-__._- _-.----- x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching are a.--.-_-__-...-----sq. ft. See� OthPr Diage stribution box Diameter.--Dosin tank Depthbelow inlet ...-______________ T al leaching area__._.__________sq. it. Z ( ) g ( ) aPercolation Test Results Performed by-------------------------------------------------------------- ----------- Date--------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water..-._---.---.__.--.----- (14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.--------_-_-._-__-_- -------------------------------------••------••-------•-----------------...............-----..------......................................................... 0 Description of Soil.................... U -------------------------------•-----•--••- � � 4 '�J�--- -rV.�---)............................................................... w e -------------- U Nature of Repairs or Al rations—Answer when plicable.... __ ____________ ____ _ _ _ 9 �. '-P....__... ...... 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 issued by the board of health. Si d. Date Application Approved By- ---- ---- •--•-•-•-•--•-------- --- - Date Application Disapproved for the following reasons:--- •-------------- -------------------------------------------------------------------------------------- ...............••--..........._..-••....--••-----•--••-------•••-•--•-----------•---•--------••••--•--••-•---•----•-------------•--•------------•--•-----........----------------....--••-----••-•..-••- j� 7q Date PermitNo......................................................... Issued..----Q®-_..... -------------......................... Date c,F No......1Y-1- Flan... ................. ..•`� THEA� OF c� OARDO HEA TH Ts Y --....OF.......... ... .. .• ----- Appliralian for Bi!ipudttl orks..,T)VIntrnrtion Vrrnait Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst at capon.A ess or Lot No. ' ' --- --- r-=--------------------------- -----------------�`�--akmk---------------------------------------------------- wner Address W V— ......... -- . ---••• -...-� �---------•---- •-----•--•--....... ---------------•----------------------------------- Install r Address d Type of uilding Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--.-_- -- _-------.-__Expansion Attic ( ) Garbage Grinder ( ) Other=T e of Building ____________________________ No. of erson5_-___-_--_____- --.-_ Showers —p•I yp g persons� _.__ ( ) Cafeteria ( ) a' Other fir ' es _ -._.---_ d ------ W Design Flow________________`. gallons per person per day. Total daily flow.._._____..___._ gallons. ------ Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter------.--------- Depth..---------. -- xDisposal Trench—No. .................... Width-------------------- Total Length...................- Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet__.._....._........_ T al leaching area.-_--.._-------..sq. it. , Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by--------------------------------------- ____ ........ Date•---.---___---_-__-__-_--_----_--_-----. a Test Pit No. 1----------------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 •-----------------------------------------------•-•----•-••••--•••-•-------•----•------•------•-•--•..............................................•---•-..... 0 Description of Soil______________________ _ ------------------------------------------------ U --------•-------------------- ----------------------------------------------- x `. g j '-7"' - ----------------------------- W --------------------------------------------------------------------------------------------------------------- ----- t ,.. U Nature of Repairs or Al rations—Answer when applicable._-_(��s� _ .- _-. __-_-• --.__-• --•-------- ,.... ------- - -------- .................................. ----------- 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 issued by the board of health. 1 -------------------------------- �-� Date Application Approved By-------- -------•-••• --LG01,C ...................... Date t Application Disapproved for the following reasons:...................... -------------------------------------------------------------------------------------- --------------------------------------------------------r...............................................I----------------------------------------------------------------------------------------------- , �` Date t' Permit No...............--------------------------------- Issued-11,... ......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT ...... ..:... ..........OF......... F......... , r.. .. ................ (grrt'firatr of f Omplianrr TS I TO CERT That dividual. Sewage Disposal System constructed ( ) or Repaired by..... t'1'If - Installer , � • e at.---• Z" 11 f..+- '--...."...�', Keo--?..................................................... 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----------- .-........... dated.-.-/.(.-'...... !--.--;'-_7.'�..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. y DATE.... -' e-( Inspector ----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ,BOARD OF HEAL ...... ... .. . ...............OF.......... .. ....�^ ..... ........ No........ . .....:.....•'=-- FEE....�---....-..... • _ %.�i��tt vrk,� n n,�# r inn �rrnti# s Permission is hereby grante �' "i-A �' � �'..... • -•• ...................... ••--•---..... ......................... to'Construct '( ) o _,Repair In ual Se e Disposal Syst at No.:!t 2. ... l�� ...._ ... . . Street L as shown on the application for Disposal Works Construction P t No.. ated.. �... .............. /w .�- Board o Health r DATE--. /---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No.-•-••-.0 1'---• Fl:iic.Ql ':7777:�........ �~ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �c-a�-....----..OF .. ? ..0...............................---.........------ Appliratinn -fox Uigpmial Workii Cnomitrurtion Punift Application is hereby made for a Permit to Construct ( ) or Repair (v ) an Individual Sewage Disposal System at: ,�( (�f A N ation- d ess or Lot No. --- . ............•-- wner Address -------------•................. .•'• - ------ -- -- ----- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) p-, Other—Type of Building _________________________-_ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures ----------------------------- -- - . WDesign Flow.........:..................................gallons per person per day. Total daily flow-_-.__._____-__---__-.....................gallons. P4 Septic Tank—Liquid capacity_____.____-gallons Length................ Width------.--------. Diameter---------..----- Depth...-_--_._.... xDisposal Trench—No. .................... Width_------------------ Total Length____-___-_..._-_---. Total leaching area---------------_....sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. it. Z Other Distribution box ( ) Dosing tank ( ) ~" Percolation Test Results Performed b .......................... ... Date_:_..__-_______._-.-_._.__._.-.......... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water...____.._.__.___....... ( Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ --------------------------------------------------------------------------------------------------------------------•---------•------•-•-••---•------------- 0 Description of Soil------------------------------------------------------------------------------------------------_---------•-•-•-------------------------------------------------------- x U ---------------------------------------------•--•-----.--------------•------------•---.--.--------------•----------------------------------------------------------------•-----------.------------ W ------------------------------------------------------•----•-------------------•-••-------•---•----------•-- ------ -------•-----------•--- ----------------- UNa re of Repairs or Alterations—Answer when ap _ ZQ�.-P,7___- ___ _ :� ----------------- ._..___ __:_::______::_- greement: 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 b ssued b the board_of heal Signe _ _ s�/ 7 �•---� /� Date Application Approved BY------ �d� V ------rl ----7 - Date r . Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date No........ _ __- Flzs.cQ.:".":'...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ------ OF---46 ,1/.'%A....................................... -...--- XpVfirtt#inn -fur UiBpmal Worko Tonotrnr#inn JIrruti# Application is hereby made for a Permit to Construct ( ) or Repair (y ) an Individual Sewage Disposal Syst at: --•-_ -_-------- _...._ -----------------------------•-.-------------.--_•.__ ation_ ess or Lot No. ___ ... -•----------"------------------ -"--------------"----------•-------"--'--.._.....____......-•--"•-•-•---------•---•---..._....---- I wner Address W -- -------.... - -•--•-- - .............`-•-------••--•-••-•---••------:-' ............................................................Address -•-•-••-"--•-""----"•-----------•-•--- � Installer "�+_ QType of Building :a Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building __......................... No. of persons__.______________________-__ Showers ( ) — Cafeteria ( ) a Other fixtures --------------- ----------------------------------------------- ----------------------------------------------- ..r`= W Design Flow.............................................gallons per person per day. Total daily flow.._.::._:___..______..._._.4__:___-_-_______gallons. P4 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. it. Z Other Distribution box ( ) ' Dos% ing tank Percolation Test Results Performedy_____________________ a _ ---------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit_-_______________ - Depth to•-ground water.--_________-_____----- fTTest Pit No. 2________________minutes per inch Depth-of"Test Pit-...._.__.._.__._.._ Depth to ground water------------------------ �Tq O Description of Soil------------------------------------------------- ...................---............................................ ------------------------------------------------------ x L) --------------------------------------.................................................................................................................................................................. ' --- - l ---- ---------------- U Na re of Repairs or Alterations— swer when ap -_-_•__ .__ _ _ __-. --_L.�?�_ ____ --- -____--____-_--. C ---- ----- - �J`"�"'- ----- "�- greement: 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 b sued b the boar of�l m f '"] Date } Application Approved By....... :;;;; ----C -- -• -1�L '2 j� / Date Application Disapproved for the following r asons: il,, 7 Dat � Permit No. Issued:: - =;� t............ - ,; THE COMMONWEA'CTH OF MASSACHUSETTS BOARD OF HEALTH--, dZt#VI...................O F..........�yZu . ...... .... Qrr#if irtt#r of fol implitttur, THIS-IS TO ERTIY, That the Individual Sewage Disposal Sys em constructed ( ) or Repaired ( ) r' ------------------- ------- ------- Ins er .....A e ..... .... .......... has b installed in accorda with the provisions of Article XI of The State Sanitary Code as scribe in the application for Disposal Works Construction Permit No.____..___. _ _______________ dated.--...1�'__7_.._._- _- __________.____. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CO " RUED AS/A�GUARANTEE THAT THE SYSTEM"ViI LLIFUNCTION SATISFACTORY. v V DATE. - _-___---•--------------•----------------•--•-------•---•------- Inspector -•---- •-----------------•-----------------•--'---- THE COMMONWEALTH OF MASSACHUSETTS BOARD 019P HEALTH j/ OF...... .--- -.....-. ...............•----... ... No. �_--... FEE. -,02--------------- �i��u�ttt rk� n�#rur#ivat �rrntif Per 'sion is hereb gra e _ _ ................................... to Con r t ( ) or e air ( n Individua e q e Di pi al, System , --------P-----------•-- •• 'JI -IfStreet , as shown on the application for isposal Works Construction Per o._._.._/� -~7 ated----.1/-- •----------=- -- - - - ---- ----- .�-•-••---- --------------- // r� / Board of Health DATE--- --------- ............................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS