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HomeMy WebLinkAbout0539 OLD STRAWBERRY HILL ROAD - Health 5.39 Old,Strdwberry Hyannis A= 273 'fl02 ' WtR '`':' LOCATION i SEWAGE PERMIT, NO. Lor *l� C1gd 5 P4W 13ei:ty 'fItII Rd 7 - 1R-d s VILLAGE ., i �� �Nn�►sP 73--602- IN.STA LLER'S NAME & ADDRESS BUILDER ORS OWNER . u CAO-f Oel CO DATE PERMIT. ISSUED . 7-7 DATE COMPLIANCE ISSUED _� , f • N. t s � 7iJ w NoAe7, /t7 Fri$. �tl....� ...... .. ................. THE COMMONWEALTH OF MASSACHUSETTS 73_"2- _ BOAR® OF HEALTH lover -.................OF.....�ACZ A64, ..................................... Appliration for Diapos al Worko Tonstrnrtion Vgrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Location- r s or No. .. - ..a ra 5..... Owner -.. . Address o .----•---•-•--•---•--------------------•-•------•-------- •-••--..--• ....--•••.••..........•-•--.-•........._... Installer Address Type of Building Size Lot__��_ .........Sq. feet V Dwelling—No. of Bedrooms.................. _..._Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons__.--_.-____-___--_•-__-___- Showers ( ) — Cafeteria ( ) a' Other fixtures ____________________________ W Design Flow................••-•-•••--__.._._..___gallons per person per day. Total daily flow------------------- t ................gallons. WSeptic Tank—Liquid capacity.` .gallons Length.a_..-(P.to... Width.4.-1V.'. Diameter................ Depth.�_-T..__. x Disposal Trench—No. .................... Width.................... Total Length....................Total leaching area....................sq. ft. Seepage Pit No.........t---------- Diameter-------_.jW__.... Depth below inlet....._.......... Total leaching area..'ZQ.C�,....sq. ft. Z Other Distribution box ( VT Dosintank ( ) Percolation Test Results Performed by... _A1LTIRL- .��( -. ..!R!o iw5.._.P:q_. Date.....!2 l o`� ?-!--------------. ,4 Test Pit No. L.._.2--___minutes per inch Depth of Test Pit-------M......... Depth to ground water........................ (� Test Pit No. 2.......I.....minutes per inch Depth of Test Pit.......(2:....... Depth to ground water........................ RS ------------- --------=----- ------------------------------------------•••..----:-----•----.....------•----•----•••----•-•-•-•-_.... ._.......-------••---. O Description of Soil...... _.._ to.......... --i'L�---- A.N_...ilA obi-!J!i�-----3t�1 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 TIT E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued,�Yjt►he board of health. Sizned. eac� -ro �-ewe'4oPme�✓�r Z� Application Approved BY = L� 4444 ---- ` - 7---------- Date Application Disapproved for the following reasons.........._ 2 - ........_._ .............. ..------•------------•-------•----...----••-•------------•-------•----------------------------------------•-•--••----••------•-----•----•--•-------•-••••. --------------•-•-•------•--•--------- Date Permit No......................................................... Issued_...>'L Date . `.. ...� No.&5+.... FEB ..../,1..................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '..F._......_ ... ....................................... Applira#ion for Uiaposal Workii Tonatrur#ion Famit Application is hereby-made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: O L- �� t .� c }' 1'�� c• c?Itri r � i r r. 3 c4 .......- _--_- .......-•-•---•...................................................... ... ......-- ocation-Add Lot No. ` Owner Address Installer Address dType of Building Size Lot___'7j.0.0---------Sq. feet V Dwelling—No. of Bedrooms___________________ _________ Expansion Attic ( ) Garbage Grinder ( ) 404 Other-T e of Building No. of persons____________________________ Showers — Cafeteria 04 Other fixtures -------------------------------- - d - ---------------------------------------------------------------•----- W Design Flow................5=. per person per day. Total daily flow...................3.5C�______.___.___._gallons. WSpptic Tank—Liquid capacity_t�-.�C .gallons Length_ '. "_ Width_.':_-tom:. Diameter________________ Depth_.5!*''_K.t_. x Disposal Trench—No_____________________ Width.................... Total Length_.;________________ Total leaching area--------------------sq. ft. A„ 3 6. Seepage Pit No........._J.......... Diameter_________js__..... Depth below inlet. Total leaching area... < ...sq. ft. Z Other Distribution box ( r'T Dosing tank ( ) " '-' Percolation Test Results Performed by... _! _:. p ! `._._x . :_ Date..... l aTest Pit No. 1......I.......minutes per inch Depth of Test Pit______�'�`_______ Depth to ground water________________________ Test.Pit No. 2_______ »____minutes pelf inch Depth of Test Pit.......n........ Depth to ground water________________________ �+ -------------------- ---- --•-- .......................__-•-----•----_•__-•--------------------•-------------------_........•--_----- O Description of Soil " _ t? ...1.. t_?: !_1......•---� �1 a? � ,�ti! � _____________ 5 ...................................................P x U ....•-•-••-••••--------•--•---•-•-----•---•--•--•-----------------•--•----••...._..•---._....•----------...------------••--•-----------------•---•---•----•----------••-----------••-•---- ---------- W -----•••-•-•----------------•-----••--------------•----------•--•--••---•--••---••--•••-•----•--•---••--•••-•••-------•-•-•-------------•--••--------•-----•-•--•--••-----•--------------•-------- -•-- UNature of Repairs or-Alteratjo s;—Answer when applicable............................................................................................... ,,1. ---------------------------------------------=----•--=---------------------------------..._........_...----...-----------------•••------••------------------------------------------•-_----• --------- Agreement: 1, The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Cod —The undersigned furthet4&*ees"not to_place the system in operation until a Certificate of Compliance has bee is ue the board of health. C AP Uve 16 PMgWr CotR P ed--Azid..,.. __-t}��- -------------------------------------------- ate APPlication Approved BY ' , Si4rl4 ..................................... '........7.7-7--•--......_ Date Application Disapproved for the.,f ollowing reasons:.............................................................................................................. _ ................•----•----------------=.....•------------•--...-•----•---•-•-------------------.....--•-••--•--••-----•-----•••-------------------•-----••-•--••-•--••-•--•••---------•••------•------ Date Permit No..................... _________________ ----- Issued..... l2. ._...<.. _.... _ : Date. THE COMMONWEALTH OF MASSACHUSETTS w BOARD OF HEALTH ........:�uOly.............OF..... A. .til..S.:r.i�.6J.. ................*................. 19prifiratr of Tontpliatta TH IS Q CERTIFY, That the Individual Sewage Disposal System constructed (�'or Repaired ( ) by....... `' �� .!�2_..._....•-•-•••-••--- .............•••••••••-•-•--inst-.--y-�-------- -.;`=-••-------•---------- .._=�•.--•-----------...........•-••-•---•••- at au; 0l� ? R.W S�_R.2 ,f t.�1------ CF ' � 'V �+� �--��A.................. has' been iristalled m accordance with the provisions of T 5 of The State Sanitary Code as described in the alication for Disposal Works Construction Permit No: dated_-_ ..2..t .7_________________ PP P c, 1�✓�� I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY • InpsDATE to � ..' / t .1.�: +3 THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH .....1..©. .N..................OF .. ms5.l A...sle..•.._.............._......._.... . F nanra rmit"Bb _ iw __ rka e Permin granted _'-. .................................................... ---------------------------E--E...._..._..." . .............--- ssio - to Construct (�j'or Re air ) an Individual Sewage Dl p al System - at No....1 ' 0�� _. �c _lK_1 :._.. �.11 /Zd I71�/lQ /.S} Street � 01— as shown on the application for Disposal Works Construction rmi No. ______________"Dated_.1 .......................� _ - 6� ............................................- Boarealth DATE.................................................................................. } FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS, 't l l0 1 Get UGLb FL,MI L -e - 3 TStE tDZOCQAA, �EP1-IG TAa.1K = SSov (SG % - 4-9rj 6.P0• �} 1 L- U Ste- t ooC� G4,L. I POSA.L PIT - usr` loco G44- . �; 1 SIJEWALl- AZEA = lsq S.F. h $Ut'r'OAA AQrA= C�;O SF. SD fob. A t .o = SO S.PD. r TOT,&L -C>e:Gk6w = 4qS G.PD• PY o v./ � T•oTQL -C>,d1 L-,( rL-C>kll : 6. vwe��! r- L 330 P.D. 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