HomeMy WebLinkAbout0060 MAIN STREET (HYANNIS) - Health 60 Main Street
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No.........................
_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F HEA TH
...-----..OF....... ... ..... .. - .. _..... ...............
Appliratiuu -fur Uiiipuutti Works Tonti#rurtiuu anti$
Application is hereby made for a Permit to Construct ( ) or Repair (Wan Individual Sewage Disposal
r.
syst t: ... �. oz►., s �� =---------------------------•----•--
%�/J�/ f ` �� L�ation/y�lddress or Lot No.
---- --------- -�o 1 Z�4!.L�xr•-- - VVVs�_{!i_/_�7,/__---------------•---------
Ow er •........................•.--_-Address
Installer Address
Qype of Building Size Lot-----------'��_"_'l��___�q. feet
U Dwelling—No. of Bedrooms._fl' Expansion Attic Garbage Grinder ( )
per, Other—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ----- ------------------------------------------------
W Design Flow--------------------------------------------gallons per person per day. Total daily flow-----------------------__-___-___._.-_---__gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter---------------- Depth.___ ._.___. ---
x Disposal Trench—No_____________________ Width-------------------- Total Length_--__-__-_---__--._ Total leaching area--------------------sq. ft.
3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet..................... Total leaching area----.. -----------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1.4 Percolation Test Results Performed by------------- ----------••----------•---------------------•--------------- Date---------------------------------------
Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..------------.-__-___--
L14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-_-__._-___--__-_____.-.
W -------------------------------- ..............................................................--•••-••---••-•----•••-•---•---•--•---------------• ---
0 Description of Soil-------------------- -- ---------------------------------•-------------------------------------- ---------------------------- -----------------
x
W ' a
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 YI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b n issu by bo r of health. _
Sign -- --------
--------------------------------
Date
Application Approved By..---- --- ��
Date
` '' �
Application Disapproved for the following reasons:..----------.... ..............................................................................................
---•----•--------------------------••-•-•-- -------•-------------•----------•------•--------
Permit No. Issued. . ...� ..._
.--- r.._ Date.......
Date
• ✓ ate, W� .
`J
v
F�a. .
.,..�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
` ....._.. 0F...... .......... ... .... .....................
Appliration -for Uiipooal Workii Town urtion Vrrmit
Application is hereby made for a Permit to Construct ( ) or Repair (Wan Individual Sewage Disposal
System at: /j/ c �--ii /�
•-------
dj � L6cationl�,Address J or Lot No.
—===''i /i ........r--!ya —J'f4' j '`{_�---------------------•--------•------•--------•---•----
�1 � Owner Address
Installer Address
type of Building / 1s�- Size Lot.....*__ `� q. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
0.' Other fixtures ------------------------------------------------------
W Design 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. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------.-----
aTest Pit No. 1----------------minutes per inch Depth of Test Pit_...-_..._________-- Depth to ground water...-_-__--_---..-_. --.-
ri Test Pit No. 2----------------minutes per inch Depth of Test Pit.....___-..__-_-___- Depth to ground water_-.-_._--__-_____-__---.
9 -------------------------------
DDescription of Soil-------------------- -------------•-------------------------------------- --------------------------- -----------------------------------
X
U ------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------
W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
UNature 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 b Q issued b t e boar of health.
Sign _,
P P .... ��../�---------------- ................................c
) Date
Approved B /
PP y_-- --- -- g..t t f-... -------------------------
ApplicationT
Application Disapproved for the following reasons________________V____
.---•-••---•-•------------- ----------------------------------------------------------
-------------------------------------------------------------------------------------------------- _----•-------
-------------------------------------------------------------------------------------•--•-----------•--------------•-------------------.---------------------------------------------------------------
Date
PermitNo......................................................... Issued........................................................
Date
4
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....�'Ot. /.............OF......... 1/✓1/( -...........................................
Cnrrtifirate of fPIompliaurr
� IIS TO C TIFY, That e Indiv'd al ewage Disposal System constructed ( ) or Repaired
�!(( ' :..
.........�K .....
y a aller e
/}
at.......................f C �/�'- `- i ------------ 1 �1.'.-..
has been installed in accordance with the provisions of A tkt, XI of The State Sanitar- Code as described in the
application for Disposal Works Construction Permit No.___._.._..., 1/................ dated.... .....-k.-7... ........
THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. C
DATE-------- ----------------------•---------------- Inspector------ --r.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARDOAF HEALTH
a�0 11......... ..OF.. ` !.
No......................... FEE. .....................
l Works Qloostr rt'T
rmit
Permission is hereby granted___f�•__ - ---------
to Construct-d ) or, pit n Individual Sewag�eat No. ( - isposal System y�
Street
as shown on the application for Disposal Works Construct�ioo Permit a ___.. %`�........ Dated_.7.�-?_ --- --
- ------------
>----✓G------ ---- ' ='�C �1J7' ---- --------------------------------------
9 7� Board of Heal
DATE..........................................•--.._....
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -,..�
JOSEPH P. MACOMBER & SON, INC.
BOX 66 - CENTERVILLE, MASS. 02632 - PHONE 775-6412 775-3338
June 5, 1980
To Whom It May Concern:
In regards to property owned by Edith Brown, 60 Main Street,
Centerville, Mass
Joseph P. Macomber & Son, Inc , of Centerville installed a
Septic System 1000 gallon septic tank and a. 1000 gallon leach-
ing pit a.t this location :
Permit #240-75, complaince issued on 9/16/750
Thank you;
Joseph P. Macomber Son, Inc
s4 RECEIVED
VED
C ,qp jpSERVAT106.1
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JUN 2 3 198r
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