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Home My WebLink About0127 HAMDEN CIRCLE - Health 127 Hamden Circle Hyannis A= 291 - 315 4 n . LOCATION SEWAGE PERMIT NO. -117 VILLAGEq/-.ji5 v /y/y INSTALLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED , DATE COMPLIANCE ISSUED _ I O 7 75. CNQ � r� No..•-•••'-'...---'--_ F>��.......(...................... THE COMMONWEALTH OF MASSACHUSETTS y BOARDOF HEALTH.. ... OF........... �. r -�•.-.--------------------------------------------- Apptiration -for Biopooa1 Workii Prri it Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal, _ System at: if 0 : _ c=11�------. I , _ -------------------------- • ----� .__Li Location-Ad s /or b Lot o. . .... .................... Address lr ...-•-------------•------ ,ai!z 4 ...........t - - - Instal er Address U Type of Building Size Lot/r,tFfr_i .. Sq. feet 01 Dwelling—No. of Bedrooms--------- -- ----------------------------Expansion Attic ( ) Garbagender ( ) Pk Other—Type of Building ............................ No. of persons.--___:_----____--.----.-_ Showers ( ) — Cafeteria ( ) QOther fixtur . _ .. p ------------•---- ------ W Design Flow...................'- -_> -...._.........gallons per person per d4y. Total da*]v flow........... _..•.......__.gallons. WSeptic Tank—Liquid capacity-`(gallons Length------- � 1_ Width_-- _ _ .- ---. Diameter................ Depth x Disposal Trench—No. --•--__---•-•_-_.__- Width_: .-'---___---_-_ Total ength.........�_.___/C 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 Test Pit.................... Depth to ground water-..---.-__- ._,,.:ff,... fro Test Pit No. 2----------------minutes per inch Depth of Test Pit.-------•-._,_______ Depth to ground Ix ------------ j- --- -•. ------•-----•--------------- O Description of Soil.-----------------YzFe! ...... _----_&.. . x U ---------------------------•--•----•----••-----•----•--•-••--••-••-----•----•---••--•-------•--•-•-•--....---•-•-----•-------------•-------•-----------------_....•-••---••--•---•---•-------....------- 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 Article NI of the State Sanitary Code— The undersigned further agrees pot to place the system in operation until a Certificate of Compliance has been issued ued by the board o/he lth.Sig - ..•--- �.... � -------------Da---.............. �''j Date � --AP 1 --------------- � -- -------Plication APProved BY Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------.......................... ------------------------------------------------------------------------------------------------------------------•--------------------------------------------------------------------------- r v .� e PermitNo......................................................... Issued--- ------------------------------�.... Date P40..................... Fic$......1.................... THE COMMONWEALTH OF MASSACHUSETTS „7 BOARD OF HEALTH ---- - -------OF...................................... Appliration -for Uiipniial Works Tomitrurtioii Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at �*"" � �. 'U T ., .. 0 ----------- = •---------------------------��--- _. : ---- 1 Location Address or Lot .......... .... ................... --• `''�S• =1`+L°v?"''st' ='--" net , � � � `� % < Address _. aa Installer Address d Type of Building Size Lot �;+�. ` ._.._ _ Sq. feet U Dwelling—No. of Bedrooms---------- -----------------------......Expansion Attic ( ) Garbage rinder ( ) Other—Type of Building -------------------_----_- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fi%xtur s . _ W Design Flow............. gallo ns per person per.day. Total d i yr flow...... „ ----------- -gallons. WSeptic Tank—Liquid capacity/gallons Length________... Width._ _--------_. Diameter---------------- Depth.......... - x Disposal Trench No t:. ............... Width-----t----_-____- Total ength..........e.....f< Total leaching area.._. _-..---_-sq. ft. Seepage Pit No - . .. Diameter .----t --------- Depth below inlet_. __ ....... Total.leacliing area.,, -._'�1--sq. ft. z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Result,a k -,Performed by ,:� a___ `�! . Fs 1 ......... Date.. __:ly.�rn � " , . . .. : 'R.4w:4A.'l . Test Pit No 1 a minutes per inch Depth of Test Pit .......... Depth to ground water.. .-.._. - f� Test Pit No. 2..... .... '___minutes Rer inch Depth of Test Pit ------------------ Depth to ground water--.__X/ --•-- ` '' - O _ --------- -- Description of Soil- ----- --------,.I x W -- 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 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 4 Sig ? l'f e f' "F* ............................... .. 'tip�L s. Date Application Approved By i" f,;. } /et-" --`.-7 -----••- Date Application Disapproved tfor the following reasons:-----•.................•-•-•-•-••-•---•----•----••-----•-----•-------------------....._.._--•---••.....--------- -------------••---•-•-------•---•----:a,------•------------------•-------_----•---------------------------------------------._---------------------------------•--------------------------•------------- Date PermitNo.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................:OF................ ................... ... ............................................. Trrtif irate ref (��m'Vliattrr THIS IS TO CERTIFY, That the Individual SeyQe Disposal System constructed j( ) or Repaired ( ) r I aller ats: f j '2•'t -- - .•..-• C " ' --------------•-•---- --•--•---------•------- has been installed in accordance with the provisions of LLticle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit N0..-77-.4.01_7-------------------- dated.-.,1$_""4.f.-17-__............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector--------------------------------------------- -----------------•-••--•-------- THE COMMONWEALTH, OF MASSACHUSETTS BOARD OF HEALTH • f• 77 � „ol. s ' ....... . .. ...OF........� FE f Dinpatittl Norkii Qlamitrnrtion r rrutit ' _ .e. Perris ssion is hereby granted.-_-- _-- -- _ _. „_ ° t 1 1� ''' t"I ! ':..... to Construct ( ) or Repair��( ) an Individual Sewage Disposal System, atNo. " � ......e.. ...f t-!! ��. .. 4. _y �7 ------------------------------------- ------------••---- f y b Street as shown on the application for Disposal Works Construction Perm No.____:__ " _ "'-_ 7 Dated/O /,� 7 DATE.:� ' - '7� surd of Health ----:---------------------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS "s .t::4 X-7te4 C ,v- ..,...�_ 47iNlSH v1PAC.F- /OVO r FINk504 C;FAVE Av?X04 l�17AD�s ___ ��_ i O✓L`R TA N K S Y.5 To)- of FovNv. ,[LGr✓s •`��I�.�db��'.Yi,�-.':�,l�i.ii�,vi/,�`�;�.�►•Rllc��II�(�..iJr�`�/�.�`�.,,i.�,ti l,��,.�,.�-�,.��,,.��v�it 40C IJ w 61.t,.i n/G CELLAR f«r✓ s 3o' 2 i D15T box N • o„ s oa o P•v .SEF'7-1 G -rAN K - Tc� eE L DEL A J G o p p I A r Cv, S'rABZ.—C /!� t�e�C�l/f.��j�1�►��J� I � i% ,C30777�.'Y OF r�T .SYS Z4e*9GIVlAA& PI DES � Get/ Cam/ TERRA � /YO OF DEa�POOMS i GfJL, PEA LU/9 y EeO )� 3 7`OTA�. 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